Provider Demographics
NPI:1114913027
Name:FLOYD, ROBIN DENISE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:DENISE
Last Name:FLOYD
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:DENISE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:619 N GRANT AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-4502
Mailing Address - Country:US
Mailing Address - Phone:432-580-9990
Mailing Address - Fax:432-580-9989
Practice Address - Street 1:619 N GRANT AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-4502
Practice Address - Country:US
Practice Address - Phone:432-580-9990
Practice Address - Fax:432-580-9989
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX622550363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily