Provider Demographics
NPI:1790455590
Name:10ZERO5 VENTURES, INC
Entity Type:Organization
Organization Name:10ZERO5 VENTURES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:LUANNE
Authorized Official - Last Name:FROST
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-CNP
Authorized Official - Phone:405-585-0485
Mailing Address - Street 1:4409 N KICKAPOO AVE STE 121
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74804-1225
Mailing Address - Country:US
Mailing Address - Phone:405-585-0475
Mailing Address - Fax:855-685-0408
Practice Address - Street 1:4409 N KICKAPOO AVE STE 121
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74804-1225
Practice Address - Country:US
Practice Address - Phone:405-585-0475
Practice Address - Fax:855-685-0408
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NKR ENTERPRISES, APRN-CNP, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty