Individual
MARCY LEE FLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
100 NAVARRE PL STE 4440, SOUTH BEND, IN 46601-1171
(574) 647-5300
(574) 647-5305
Mailing address
3245 HEALTH DRIVE, SUITE 100, GRANGER, IN 46530-1380
(574) 647-1840
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28166012A
IN
363L00000X
Nurse Practitioner
Primary
71013838A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300078182
—
IN
Enumeration date
04/12/2023
Last updated
08/16/2023
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