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 1:1026 SE FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-3821
Mailing Address - Country:US
Mailing Address - Phone:772-210-2447
Mailing Address - Fax:772-261-4028
Practice Address - Street 1:1026 SE FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-3821
Practice Address - Country:US
Practice Address - Phone:772-210-2447
Practice Address - Fax:772-261-4028
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11022944363LA2100X
FL11022944363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care