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 |