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Individual

ELIZABETH ANNE FROST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
277.002142
IL
363LA2200X
Adult Health Nurse Practitioner
2021004787
MO
363LA2200X
Adult Health Nurse Practitioner
209018006
IL
363LA2200X
Adult Health Nurse Practitioner
21404
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2021004787
NP LICENSE
MO
01
209.018006
NP LICENSE
IL
01
21404
NP LICENSE
SC
01
277.002142
FULL PRACTICE AUTHORITY LICENSE
IL
01
377.002066
FULL PRACTICE AUTHORITY APRN CONTROL SUBSTANCE
IL
Enumeration date
09/03/2018
Last updated
08/05/2022
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