Provider Demographics
NPI:1528217346
Name:WRIGHT, ZHANDRA L (MSN, FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:MISS
First Name:ZHANDRA
Middle Name:L
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MSN, FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 NW 73RD AVE
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33313-5343
Mailing Address - Country:US
Mailing Address - Phone:954-297-3210
Mailing Address - Fax:954-297-3210
Practice Address - Street 1:8300 NW 33RD ST
Practice Address - Street 2:#400
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1940
Practice Address - Country:US
Practice Address - Phone:888-562-5442
Practice Address - Fax:562-276-4825
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-17
Last Update Date:2022-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9192520363LF0000X, 363LP0808X
OHAPRN.CNP.0027496363LP0808X
TXAPRN.CNP.1042684363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001172100Medicaid
FLBI083YMedicare PIN