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NPI Code Detail

MEDICARE: PATRICK M. FROST CNP

MEDICARE: PATRICK M. FROST CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse PractitionerCOA. 18206- NPOH

General Provider Information

NPI Number : 1659741577
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK M. FROST CNP
Provider Business Mailing Address
First Line : PO BOX 746071
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6071
Country : US
Telephone Number : 312-733-9730
Fax Number :
Provider Business Practice Location Address
First Line : 3551 BELMONT AVE STE 19B
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-1439
Country : US
Telephone Number : 330-222-4030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2015
Last Update Date : 10/07/2022

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