Individual
MRS. DEBRA RAE FROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
19 MYRTLE ST, MEDFORD, OR 97504-7337
(541) 773-3863
(541) 500-8171
Mailing address
1000 E MAIN ST, MEDFORD, OR 97504-7667
(541) 773-3863
(541) 500-8171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202000800NP-PP
OR
363LF0000X
Family Nurse Practitioner
NP-62495
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500776836
—
OR
Enumeration date
03/01/2007
Last updated
07/06/2022
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