Individual
MICAELA FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1519 E BOOKER DAIRY RD, SMITHFIELD, NC 27577-9472
(919) 938-2144
Mailing address
150 BRIARWOOD PL, WAKE FOREST, NC 27587-4678
(703) 638-3219
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5015212
NC
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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