Provider Demographics
NPI:1669200283
Name:ZAMBEZI NP IN PSYCHIATRY PLLC
Entity type:Organization
Organization Name:ZAMBEZI NP IN PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:MRS
Authorized Official - First Name:MUNYARADZI
Authorized Official - Middle Name:EPHIE
Authorized Official - Last Name:RWAKONDA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:845-412-9682
Mailing Address - Street 1:111 MILL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18337-9491
Mailing Address - Country:US
Mailing Address - Phone:845-412-9682
Mailing Address - Fax:
Practice Address - Street 1:199 STATE RT 284
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:NJ
Practice Address - Zip Code:07461-3417
Practice Address - Country:US
Practice Address - Phone:845-412-9682
Practice Address - Fax:845-302-8635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-24
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty