MEDICARE: EMMA HSU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	RN10020197	MA

General Provider Information

NPI Number	:	1477479236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA HSU

Provider Business Mailing Address
First Line	:	2079 KILLINGLY COMMONS DR # 1039
Second Line	:
City	:	KILLINGLY
State	:	CT
Zip	:	06241-2190
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	340 THOMPSON RD
Second Line	:
City	:	WEBSTER
State	:	MA
Zip	:	01570-1509
Country	:	US
Telephone Number	:	508-949-8988
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2026
Last Update Date	:	06/26/2026

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Directions to “ EMMA HSU ” Practice Location

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