Provider Demographics
NPI:1306584420
Name:TRANCHINA, NICOLE (MS, CNS)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:TRANCHINA
Suffix:
Gender:F
Credentials:MS, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8457 MELIACEAE DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-1905
Mailing Address - Country:US
Mailing Address - Phone:850-261-6272
Mailing Address - Fax:
Practice Address - Street 1:8457 MELIACEAE DR
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-1905
Practice Address - Country:US
Practice Address - Phone:850-261-6272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-27
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist