Provider Demographics
NPI:1881411833
Name:FROST, DONNA MICHELLE
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:MICHELLE
Last Name:FROST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3813 DENVER AVE
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44055-2345
Mailing Address - Country:US
Mailing Address - Phone:440-219-7295
Mailing Address - Fax:
Practice Address - Street 1:3813 DENVER AVE
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44055-2345
Practice Address - Country:US
Practice Address - Phone:440-219-7295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide