Provider Demographics
NPI:1558778969
Name:FROST, TED HUNTER (RN)
Entity Type:Individual
Prefix:
First Name:TED
Middle Name:HUNTER
Last Name:FROST
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6255 CROOKED CREEK RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47448-9654
Mailing Address - Country:US
Mailing Address - Phone:812-837-9403
Mailing Address - Fax:
Practice Address - Street 1:7330 SHADELAND STA
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-3957
Practice Address - Country:US
Practice Address - Phone:317-621-7400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN2812628A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse