Individual
LISA FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
597 CENTER AVE, MARTINEZ, CA 94553-4640
(925) 313-6250
(925) 313-6029
Mailing address
4221 WHITTLE AVE, OAKLAND, CA 94602-2545
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
321465
CA
163WC0400X
Case Management Registered Nurse
Primary
P321465
CA
363LP0200X
Pediatric Nurse Practitioner
321465
CA
Other
Enumeration date
04/13/2010
Last updated
01/25/2011
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