Individual provider · Type 1 NPI

Olivia I. Grozenski, NP

Pediatric Nurse Practitioner · Southgate, MI

NPI number 1902569411 Active

Practice location

15555 Northline Rd
Southgate, MI 48195-1896

Call (734) 285-3090 Map

Mailing address

24679 Emily Dr
Brownstown, MI 48183-5422

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4704342485 (MI)

Pediatric Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1902569411

Olivia I. Grozenski, NP's National Provider Identifier is 1902569411, issued on Oct 21, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Southgate, MI. The record was last updated on Oct 21, 2021.