Healthcare Provider Details

I. General information

NPI: 1598638363
Provider Name (Legal Business Name): EMILY K CABRERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

487 BURNCOAT ST
WORCESTER MA
01606-1407
US

IV. Provider business mailing address

487 BURNCOAT ST
WORCESTER MA
01606-1407
US

V. Phone/Fax

Practice location:
  • Phone: 508-233-8354
  • Fax: 531-228-4860
Mailing address:
  • Phone: 508-233-8354
  • Fax: 531-228-4860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number278720
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: