Healthcare Provider Details

I. General information

NPI: 1184922080
Provider Name (Legal Business Name): ZANAIDA SAGAR CONRAD ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2011
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CELEBRATION PL STE A150
CELEBRATION FL
34747-4970
US

IV. Provider business mailing address

PO BOX 17805
BELFAST ME
04915-4073
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-3837
  • Fax: 407-303-3838
Mailing address:
  • Phone: 800-737-5654
  • Fax: 423-648-9215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP61210616
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61210616
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9241374
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9241374
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: