Provider Demographics
NPI:1508645458
Name:FLOYD, CLAIRE THERESE (RN)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:THERESE
Last Name:FLOYD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:THERESE
Other - Last Name:KEENAGHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6321 QUINN RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-6703
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6321 QUINN RD
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-6703
Practice Address - Country:US
Practice Address - Phone:201-248-7358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRI75560163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse