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MRS. MICHELLE MARY PRIMO-DEROSA
NPI 1902217979
Nurse Practitioner - Adult Health in Boston, MA

Active since May 13, 2014

NPPES record last updated: May 13, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Michelle Mary Primo-derosa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MICHELLE MARY PRIMO-DEROSA (NPI 1902217979) is an individual adult health provider in Boston, Massachusetts, licensed in Massachusetts (RN257469) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1902217979
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. MICHELLE MARY PRIMO-DEROSA
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing Address55 Fruit StBoston, MA 02114-2621 · (617) 726-3342
Phone(617) 726-3342
Sole ProprietorYes
Enumeration DateMay 13, 2014
✔ NPI 1902217979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MA · RN257469
55 FRUIT ST, Boston, MA 02114
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Primo-derosa's NPI number?

The NPI number for Michelle Primo-derosa is 1902217979. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is Michelle Primo-derosa located?

Michelle Primo-derosa practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-3342.

What is Michelle Primo-derosa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Michelle Primo-derosa was last updated on May 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.