NPI 1265139331

Evan Jackson Frost, EMTB

Practitioner Basic Emergency Medical Technician Santa Fe, NM

Practice location

Address: 2052 Galisteo St, Santa Fe, NM 87505-2100
Phone: (505) 819-3419
Mailing address: 904 Bishops Lodge Rd, Santa Fe, NM 87501-1131

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 1016380 (MN)

Other Emergency Medical Technician, Basic providers in New Mexico →

Registry record

NPI: 1265139331
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Feb 2023
Record last updated: 9 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.