Provider Demographics
NPI:1811510944
Name:FLOYD, ANNIE (NP)
Entity type:Individual
Prefix:
First Name:ANNIE
Middle Name:
Last Name:FLOYD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5756 W 115TH PL
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80020-5940
Mailing Address - Country:US
Mailing Address - Phone:720-238-7400
Mailing Address - Fax:
Practice Address - Street 1:5191 W 112TH AVE STE 105
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-2177
Practice Address - Country:US
Practice Address - Phone:720-238-7400
Practice Address - Fax:833-468-0126
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-23
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0995356-NP207Q00000X
COAPN.0995356-NP225000000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter