Provider Demographics
NPI:1689055493
Name:FROST, ELIZABETH HADLEY (PA-C)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:HADLEY
Last Name:FROST
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:372 DEPOT ST
Mailing Address - Street 2:#10
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4366
Mailing Address - Country:US
Mailing Address - Phone:828-575-9600
Mailing Address - Fax:828-575-2298
Practice Address - Street 1:372 DEPOT ST
Practice Address - Street 2:#10
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4366
Practice Address - Country:US
Practice Address - Phone:828-575-9600
Practice Address - Fax:828-575-2298
Is Sole Proprietor?:No
Enumeration Date:2015-06-17
Last Update Date:2020-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-05791363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0010-05791OtherNORTH CAROLINA MEDICAL BOARD