Provider Demographics
NPI:1356124127
Name:FROCE, KRISTA ANN (LPN)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:ANN
Last Name:FROCE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 N WAYNE ST
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16102-1846
Mailing Address - Country:US
Mailing Address - Phone:724-714-2490
Mailing Address - Fax:
Practice Address - Street 1:2305 WILMINGTON RD STE 3
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1959
Practice Address - Country:US
Practice Address - Phone:724-965-8355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN282184164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse