Individual
TIFFANY P. FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 LOUISVILLE AVE, MONROE, LA 71201-6021
(318) 807-1500
(318) 807-1504
Mailing address
130 DESIARD ST STE 355, MONROE, LA 71201-7363
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN085658
LA
363LG0600X
Gerontology Nurse Practitioner
Primary
208487
LA
Other
Enumeration date
08/27/2019
Last updated
09/19/2019
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