| Doctor Name: | SHAWNA M FROST |
| NPI Number: | 1396010799 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | CNP-01954 |
| Business Practice Address: | 20 S Market St Cortez, CO - 813213502 |
| Business Phone Number: | 9705654291 |
| Business Fax Number: | 9705654419 |
| Mailing Address: | 20 S Market St, CORTEZ |
| State: | CO |
| Postal Code: | 813213502 |
| Phone Number: | 9705654291 |
| Fax Number: | 9705654419 |
| NPI Enumeration Date: | 03/19/2012 |
| NPI Last Update Date: | 08/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | CNP-01954 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |