Provider Demographics
NPI:1801037528
Name:TRANCHITELLA, STEVEN D (RN)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:D
Last Name:TRANCHITELLA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:995 HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-4312
Mailing Address - Country:US
Mailing Address - Phone:215-750-6161
Mailing Address - Fax:
Practice Address - Street 1:995 HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-4312
Practice Address - Country:US
Practice Address - Phone:215-750-6161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN516477L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse