Provider Demographics
NPI:1184338691
Name:TROOPE, DARAH GARDNER
Entity type:Individual
Prefix:MRS
First Name:DARAH
Middle Name:GARDNER
Last Name:TROOPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 METALMARK DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-7553
Mailing Address - Country:US
Mailing Address - Phone:252-714-4710
Mailing Address - Fax:
Practice Address - Street 1:1741 E NINE MILE RD STE 3
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-5478
Practice Address - Country:US
Practice Address - Phone:850-361-2251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC304105163W00000X
FL1034951363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse