Provider Demographics
NPI:1144296930
Name:FROST, MELINDA J (CNP)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:J
Last Name:FROST
Suffix:
Gender:F
Credentials:CNP
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Mailing Address - Street 1:2400 S MINNESOTA AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-3762
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:1325 S CLIFF AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1007
Practice Address - Country:US
Practice Address - Phone:605-322-7905
Practice Address - Fax:605-322-8414
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2013-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SDCP000286363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD4995296OtherBLUE CROSS
SDHP43476OtherHEALTHPARTNERS
SD370624200OtherDEPT OF LABOR
NE46022474347Medicaid
MN502T2FROtherCC SYSTEMS/ BLUE PLUS
MN92411422905OtherPRIMEWEST
SD0118715OtherMEDICA
SD6827410Medicaid
SD2177212OtherARAZ/ AMERICA'S PPO
SD6827414Medicaid
SD9237766OtherDAKOTACARE
SD244214OtherMIDLANDS CHOICE
IA0584508Medicaid
SD36787OtherSANFORD HEALTH PLAN
SD57105W007OtherWPS TRICARE
SD407141041933OtherPREFERRED ONE
MN502T2FROtherBLUE CROSS
MN871496700Medicaid
IA0584508Medicaid
SD9237766OtherDAKOTACARE
SD2177212OtherARAZ/ AMERICA'S PPO