Individual
ELISE KENI WARDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
840 HARRISON AVE, MENINO BLDG., BOSTON, MA 02118
(617) 638-8609
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA101751
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110222918A
—
MA
Enumeration date
05/19/2025
Last updated
09/17/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us