MEDICARE: MRS. MICHELLE SUESANN ARANCIO PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN256055	MA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN256055	MA

General Provider Information

NPI Number	:	1225637770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE SUESANN ARANCIO PMHNP

Provider Business Mailing Address
First Line	:	38 BOX TURTLE DR
Second Line	:
City	:	ROCHESTER
State	:	MA
Zip	:	02770-2152
Country	:	US
Telephone Number	:	508-944-8849
Fax Number	:

Provider Business Practice Location Address
First Line	:	28 RIVERSIDE DR STE 260
Second Line	:
City	:	PEMBROKE
State	:	MA
Zip	:	02359-4947
Country	:	US
Telephone Number	:	781-427-7070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2020
Last Update Date	:	12/12/2025

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