Healthcare Provider Details

I. General information

NPI: 1518123900
Provider Name (Legal Business Name): MELISSA ANN FROST P.A.-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA A FRANK

II. Dates (important events)

Enumeration Date: 08/05/2008
Last Update Date: 07/15/2020
Certification Date: 07/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10350 E DAKOTA AVE
DENVER CO
80247-1314
US

IV. Provider business mailing address

12319 N MOPAC EXPY STE 100
AUSTIN TX
78758-2486
US

V. Phone/Fax

Practice location:
  • Phone: 303-338-4545
  • Fax:
Mailing address:
  • Phone: 512-837-3376
  • Fax: 512-837-3377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2629
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: