Individual
LISA FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
333 N 14TH ST, WAKEENEY, KS 67672-3000
(785) 743-2124
Mailing address
333 N 14TH ST, WAKEENEY, KS 67672-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
45608
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104718
BCBS WFCC RHC
—
01
—
161633
BCBS EFCC RHC
KS
05
—
200301920B
—
KS
Enumeration date
08/21/2006
Last updated
12/08/2017
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