Healthcare Provider Details

I. General information

NPI: 1083405336
Provider Name (Legal Business Name): NICOLE LEE TROOP RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HOSPITAL DR
BENNINGTON VT
05201-5004
US

IV. Provider business mailing address

645 BARBOUR ST
NORTH ADAMS MA
01247-3111
US

V. Phone/Fax

Practice location:
  • Phone: 802-447-5160
  • Fax: 802-447-5222
Mailing address:
  • Phone: 413-652-4172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number026.0131153
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-82768
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: