National Provider Identifier
Elise Keni Wardell, PA-C
Elise Keni Wardell, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 638-8609.
Source: public NPPES record, last updated September 17, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1376335216
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- May 19, 2025
- Last Updated
- September 17, 2025
Practice Location
- 840 Harrison Ave
- Menino Bldg.
- Boston, MA 02118
Phone: (617) 638-8609
Mailing Address
- 960 Massachusetts Avenue
- Fl 2
- Boston, MA 02118-2690
Specialties
- Physician Assistant (363A00000X)
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Biography
Elise Wardell, PA-C, is a physician assistant in Trauma and Acute Care Surgery at Boston Medical Center. She earned her physician assistant degree from the University of Saint Joseph in 2025, and her clinical interests include trauma and acute care surgery.
Full Record
- NPI
- 1376335216
- Entity Type
- Individual
- Last Name
- Wardell
- First Name
- Elise
- Middle Name
- Keni
- Credential
- PA-C
- Mailing Street Address
- 960 Massachusetts Avenue
- Mailing Address Line 2
- Fl 2
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02118-2690
- Mailing Country
- US
- Practice Street Address
- 840 Harrison Ave
- Practice Address Line 2
- Menino Bldg.
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02118
- Practice Country
- US
- Practice Phone
- (617) 638-8609
- Enumeration Date
- May 19, 2025
- Last Updated
- September 17, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 17, 2025
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 110222918A (MA)