Frost, Debra Rae
Frost, Debra Rae is an sole proprietor health care provider with primary practice located at 19 Myrtle St , Medford OR 97504-7337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Frost, Debra Rae can be contacted via phone (541) 773-3863.Contact Information
Primary practice address
19 Myrtle St
Medford OR 97504-7337
Phone: (541) 773-3863
Fax: (541) 500-8171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP-62495 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 202000800NP-PP | Oregon |
Profile Details
| NPI number | 1609904853 |
|---|---|
| LBN Legal business name | Frost, Debra Rae |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Jul 6th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609904853 | NPPES |
| Oregon | MEDICAID | 500776836 |
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