Doctor Name: | MRS. SHELBY FROST |
NPI Number: | 1376963801 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, APRN, FNP-BC |
License Number: | 22690.1324 |
Business Practice Address: | 1115 Lane 12 Lovell, WY - 824319537 |
Business Phone Number: | 3075485200 |
Business Fax Number: | 3075485224 |
Mailing Address: | 1115 Lane 12, LOVELL |
State: | WY |
Postal Code: | 824319537 |
Phone Number: | 3075485200 |
Fax Number: | 3075485224 |
NPI Enumeration Date: | 04/23/2014 |
NPI Last Update Date: | 07/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 22690.1324 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |