Provider Demographics
NPI:1396582094
Name:FLOYD, SHELBY (ARNP)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:
Last Name:FLOYD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15432 WALNUT HILLS DR
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50323-2252
Mailing Address - Country:US
Mailing Address - Phone:515-745-9741
Mailing Address - Fax:
Practice Address - Street 1:3930 WESTOWN PKWY STE A
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1035
Practice Address - Country:US
Practice Address - Phone:515-412-4005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA179411363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health