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Organization

MELISSA FROST RN A PROFESSIONAL CORPORATION

Active
Other names
Frost Mental Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MELISSA L FROST NURSE PRACTITIONER (NURSE PRACTITIONER)
(626) 600-8543
Entity
Organization

Contact information

Practice address
415 W CARROLL AVE, SUITE 204, GLENDORA, CA 91741-4208
(626) 600-8543
(626) 228-2226
Mailing address
415 W CARROLL AVE, SUITE 204, GLENDORA, CA 91741-4208
(626) 600-8543
(626) 228-2226

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NR491644
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NR4916440
MEDI-CAL
CA
Enumeration date
11/05/2010
Last updated
03/07/2023
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