Frost, Michael Adrian
Frost, Michael Adrian is an individual health care provider with primary practice located at 712 E Pine Knoll Dr , Prescott AZ 86303-5223. He recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Pain Management, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Frost, Michael Adrian can be contacted via phone (928) 899-2967.Contact Information
Primary practice address
712 E Pine Knoll Dr
Prescott AZ 86303-5223
Phone: (928) 899-2967
Fax: (928) 237-3437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN123750 | Arizona |
| Nursing Service Providers / Pain Management | 163WP0000X | RN123750 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP3481 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | AP3481 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP3481 | Arizona |
Profile Details
| NPI number | 1114004587 |
|---|---|
| LBN Legal business name | Frost, Michael Adrian |
| Credentials | FNP, RN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Feb 9th, 2023 - about 2 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 | 1114004587 | NPPES |
| Arizona | Other | Z200193 | MEDICARE |
| Arizona | Other | 12366810 | MEDICARE |
| Arizona | MEDICAID | 580425 | MEDICARE |
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