Provider Demographics
NPI:1205416468
Name:CADWELL-FROST, DANA
Entity type:Individual
Prefix:MS
First Name:DANA
Middle Name:
Last Name:CADWELL-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 1:134 BOSTON ST UNIT 1B
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-1451
Mailing Address - Country:US
Mailing Address - Phone:413-313-3116
Mailing Address - Fax:
Practice Address - Street 1:134 BOSTON ST UNIT 1B
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-1451
Practice Address - Country:US
Practice Address - Phone:413-313-3116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program