Provider Demographics
NPI:1104698489
Name:TROOP-DASGUPTA, LEANNE KATHLEEN (FNP-BC)
Entity type:Individual
Prefix:
First Name:LEANNE
Middle Name:KATHLEEN
Last Name:TROOP-DASGUPTA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:LEANNE
Other - Middle Name:KATHLEEN
Other - Last Name:TROOP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:105 W 8TH AVE STE 122C
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2302
Mailing Address - Country:US
Mailing Address - Phone:509-474-2894
Mailing Address - Fax:509-474-5757
Practice Address - Street 1:105 W 8TH AVE STE 122C
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2302
Practice Address - Country:US
Practice Address - Phone:509-474-2894
Practice Address - Fax:509-474-5757
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-30
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61452818363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner