Healthcare Provider Details

I. General information

NPI: 1760907059
Provider Name (Legal Business Name): MICHELLE L TRANGHESE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE TURNER

II. Dates (important events)

Enumeration Date: 08/08/2017
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 COOPER ST
AGAWAM MA
01001-2149
US

IV. Provider business mailing address

1 S END BRIDGE CIR
AGAWAM MA
01001-2020
US

V. Phone/Fax

Practice location:
  • Phone: 413-786-8000
  • Fax:
Mailing address:
  • Phone: 413-304-2501
  • Fax: 413-789-0290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA6247
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: