Provider Demographics
NPI:1518248020
Name:FLOYD, MICHELLE ROBIN
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:ROBIN
Last Name:FLOYD
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 1:329 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-4019
Mailing Address - Country:US
Mailing Address - Phone:740-802-7077
Mailing Address - Fax:
Practice Address - Street 1:329 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-4019
Practice Address - Country:US
Practice Address - Phone:740-802-7077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-30
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide