Individual
PAIGE DELIA HARMONY FROCK
Active
Individual
PAIGE DELIA HARMONY FROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP122751
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3231607-01
—
TX
01
—
825776
STATE BOARD LICNESEREGISTERED NURSE
TX
01
—
AP122751
STATE BOARD LICENSEPEDIATRIC NURSE PRACTITIONER
TX
Enumeration date
11/15/2012
Last updated
05/20/2022
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