Provider Demographics
NPI:1184922080
Name:CONRAD, ZANAIDA SAGAR (ARNP)
Entity type:Individual
Prefix:
First Name:ZANAIDA
Middle Name:SAGAR
Last Name:CONRAD
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 17805
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4073
Mailing Address - Country:US
Mailing Address - Phone:800-737-5654
Mailing Address - Fax:423-648-9215
Practice Address - Street 1:400 CELEBRATION PL STE A150
Practice Address - Street 2:
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-4970
Practice Address - Country:US
Practice Address - Phone:407-303-3837
Practice Address - Fax:407-303-3838
Is Sole Proprietor?:No
Enumeration Date:2011-03-02
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61210616363L00000X, 363LF0000X
FLARNP9241374363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004579700Medicaid
FLFO381YMedicare PIN