Provider Demographics
NPI:1447323134
Name:FROST, JUNE ELAINE
Entity type:Individual
Prefix:MRS
First Name:JUNE
Middle Name:ELAINE
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 1:16315 DELREY AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44128-1369
Mailing Address - Country:US
Mailing Address - Phone:216-752-9565
Mailing Address - Fax:216-753-9565
Practice Address - Street 1:16315 DELREY AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-1369
Practice Address - Country:US
Practice Address - Phone:216-752-9565
Practice Address - Fax:216-753-9565
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400419591004376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide