Provider Demographics
NPI:1558599050
Name:TRANCHELL, NATHAN L (DO)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:L
Last Name:TRANCHELL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1966 KACHINA MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-2220
Mailing Address - Country:US
Mailing Address - Phone:702-430-8002
Mailing Address - Fax:
Practice Address - Street 1:1966 KACHINA MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-2220
Practice Address - Country:US
Practice Address - Phone:702-430-8002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NVDO1674207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program