Healthcare Provider Details

I. General information

NPI: 1487578530
Provider Name (Legal Business Name): PAIGE TRANCHIDA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3686 GAINESBOROUGH DR
LAKE ORION MI
48359-1616
US

IV. Provider business mailing address

3686 GAINESBOROUGH DR
LAKE ORION MI
48359-1616
US

V. Phone/Fax

Practice location:
  • Phone: 810-841-6968
  • Fax:
Mailing address:
  • Phone: 810-841-6968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: