Individual
MR. MICHAEL ADRIAN FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP, RN
Contact information
Practice address
712 E PINE KNOLL DR, PRESCOTT, AZ 86303-5223
(928) 899-2967
(928) 237-3437
Mailing address
712 E PINE KNOLL DR, PRESCOTT, AZ 86303-5223
(928) 899-2967
(928) 237-2437
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN123750
AZ
163WP0000X
Pain Management Registered Nurse
RN123750
AZ
363L00000X
Nurse Practitioner
AP3481
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP3481
AZ
363LP2300X
Primary Care Nurse Practitioner
AP3481
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12366810
CAQH
—
05
—
580425
—
AZ
01
—
Z200193
MEDICARE
AZ
Enumeration date
11/01/2006
Last updated
02/09/2023
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