Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 71002294A | IN |
NPI | 1003981796 |
---|---|
Provider Name | Carole E Floyd |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46202-1218 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 22/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201108990 | (05) | IN |
Q78303 | (02) | IN |