Individual
MRS. MELISSA FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
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
163WP0808X
Psychiatric/Mental Health Registered Nurse
491644
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13697
CA
Other
Enumeration date
06/23/2006
Last updated
03/31/2016
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