Healthcare Provider Details

I. General information

NPI: 1225637770
Provider Name (Legal Business Name): MICHELLE SUESANN ARANCIO PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2020
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 RIVERSIDE DR STE 260
PEMBROKE MA
02359-4947
US

IV. Provider business mailing address

38 BOX TURTLE DR
ROCHESTER MA
02770-2152
US

V. Phone/Fax

Practice location:
  • Phone: 781-427-7070
  • Fax:
Mailing address:
  • Phone: 508-944-8849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN256055
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN256055
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: