Individual provider · Type 1 NPI
Elisa Gao, FNP-BC
Nurse Practitioner · Southborough, MA
Practice location
24 Newton St
Southborough, MA 01772-1215
Fax (508) 453-8152
Mailing address
5 Neponset St, Attn:medical Staff Services
Worcester, MA 01606-2714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN2362747 (MA) |
| Registered Nurse | 163W00000X | 2362747 (MA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1124824420
Elisa Gao, FNP-BC's National Provider Identifier is 1124824420, issued on Feb 19, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Southborough, MA. The record was last updated on May 4, 2026.