Provider Demographics
NPI:1346617511
Name:ZAMBRYCK, BETH (APRN)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:ZAMBRYCK
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:962 NW 100TH AVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-4372
Mailing Address - Country:US
Mailing Address - Phone:954-940-0799
Mailing Address - Fax:
Practice Address - Street 1:400 N HIATUS RD STE 206
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-5214
Practice Address - Country:US
Practice Address - Phone:954-380-8550
Practice Address - Fax:954-380-8580
Is Sole Proprietor?:No
Enumeration Date:2015-08-24
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2749262363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily