Healthcare Provider Details

I. General information

NPI: 1487611554
Provider Name (Legal Business Name): MICHELLE MCGEACHIE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE PERRELLI FNP-BC

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 MOUNT AUBURN ST STE 106
CAMBRIDGE MA
02138-4556
US

IV. Provider business mailing address

300 MOUNT AUBURN ST PARSONS 2
CAMBRIDGE MA
02138-5600
US

V. Phone/Fax

Practice location:
  • Phone: 617-661-5836
  • Fax: 617-661-5839
Mailing address:
  • Phone: 617-661-5836
  • Fax: 617-661-5839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberRN213922
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN213922
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN213922
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: