Individual
MISS MELISSA ANN FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Mailing address
12319 N MOPAC EXPY, STE 100, AUSTIN, TX 78758-2486
(512) 837-3376
(512) 837-3377
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2629
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019502
KAISER COMMERCIAL NUMBER
CO
01
—
1082573
NCCPA
CO
01
—
2629
PROFESSIONAL LISENCE
CO
05
—
63009056
—
CO
Enumeration date
08/05/2008
Last updated
07/15/2020
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