Provider Demographics
NPI:1467704254
Name:TROSPER, WHITNEY J (PA)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:J
Last Name:TROSPER
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:
Other - Last Name:VANDERHOOF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:92 CAMPUS DR STE A
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-7229
Mailing Address - Country:US
Mailing Address - Phone:207-885-0011
Mailing Address - Fax:207-885-5851
Practice Address - Street 1:92 CAMPUS DR STE A
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-7229
Practice Address - Country:US
Practice Address - Phone:207-885-0011
Practice Address - Fax:207-885-5851
Is Sole Proprietor?:No
Enumeration Date:2012-10-04
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPA1449363A00000X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant