| NPI | 1174264295 | 
|---|---|
| Former Name | MELISSA F FROST | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 273398) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WY 53625) | 
| 363LF0000X Nurse Practitioner, Family (Licence: UT 9043603-4405) | |
| Enumeration Date | 2022-04-05 | 
| Last Update Date | 2024-05-19 |