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Individual
ELIZABETH ANNE FROST
Active
Individual
ELIZABETH ANNE FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
277.002142
IL
363LA2200X
Adult Health Nurse Practitioner
2021004787
MO
363LA2200X
Adult Health Nurse Practitioner
209018006
IL
363LA2200X
Adult Health Nurse Practitioner
21404
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021004787
NP LICENSE
MO
01
—
209.018006
NP LICENSE
IL
01
—
21404
NP LICENSE
SC
01
—
277.002142
FULL PRACTICE AUTHORITY LICENSE
IL
01
—
377.002066
FULL PRACTICE AUTHORITY APRN CONTROL SUBSTANCE
IL
Enumeration date
09/03/2018
Last updated
08/05/2022
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