Provider Demographics
NPI:1609584440
Name:FRONING, BEVERLY J (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:J
Last Name:FRONING
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 PRO DR STE A
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:OH
Mailing Address - Zip Code:45822-3301
Mailing Address - Country:US
Mailing Address - Phone:567-890-6515
Mailing Address - Fax:567-998-3329
Practice Address - Street 1:801 PRO DR
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:OH
Practice Address - Zip Code:45822-3307
Practice Address - Country:US
Practice Address - Phone:567-890-6515
Practice Address - Fax:567-998-3329
Is Sole Proprietor?:No
Enumeration Date:2022-11-10
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.380716163W00000X
OHAPRN.CNP.0034907363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse