Provider Demographics
NPI:1902827645
Name:FLOYD, DEIRDRE VALOIS (RN, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:DEIRDRE
Middle Name:VALOIS
Last Name:FLOYD
Suffix:
Gender:F
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:DEIRDRE
Other - Middle Name:VALOIS
Other - Last Name:CLAPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3101 GARRETT DR
Mailing Address - Street 2:
Mailing Address - City:PERRYTON
Mailing Address - State:TX
Mailing Address - Zip Code:79070-5323
Mailing Address - Country:US
Mailing Address - Phone:806-435-7224
Mailing Address - Fax:806-435-7819
Practice Address - Street 1:3101 GARRETT DR
Practice Address - Street 2:
Practice Address - City:PERRYTON
Practice Address - State:TX
Practice Address - Zip Code:79070-5323
Practice Address - Country:US
Practice Address - Phone:806-435-7224
Practice Address - Fax:806-435-7819
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2014-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX586444363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner