Individual
MIRANDA MARIE FLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-7999
(660) 562-7996
Mailing address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-7999
(660) 562-7996
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
20170357250
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420047320
—
MO
Enumeration date
08/10/2017
Last updated
12/11/2025
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