Individual
CLARA FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 ASHLEY CIR, SUITE 209A, BOWLING GREEN, KY 42104-3337
(270) 782-9994
(270) 842-5048
Mailing address
110 29TH AVE N STE 202, NASHVILLE, TN 37203-1448
(615) 327-4304
(615) 327-7940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3000045
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430002387
RAILROAD MEDICARE
KY
05
—
74008509
—
KY
Enumeration date
09/27/2005
Last updated
07/10/2014
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