Provider Demographics
NPI:1326756321
Name:ZEGAR, MAYADA (MSN, NP)
Entity Type:Individual
Prefix:
First Name:MAYADA
Middle Name:
Last Name:ZEGAR
Suffix:
Gender:F
Credentials:MSN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 STRAND DR
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-4215
Mailing Address - Country:US
Mailing Address - Phone:630-862-8088
Mailing Address - Fax:
Practice Address - Street 1:110 STRAND DR
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32963-4215
Practice Address - Country:US
Practice Address - Phone:630-862-8088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9525276363LA2100X
FL11022944363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care