OLIVIA I GROZENSKI NP
NPI 1902569411
Nurse Practitioner - Pediatrics in Southgate, MI

Active since October 21, 2021
15555 NORTHLINE RD, SOUTHGATE, MI 48195(734) 285-3090 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Olivia I Grozenski Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVIA I GROZENSKI NP (NPI 1902569411) is an individual pediatrics provider in Southgate, Michigan, licensed in Michigan (4704342485) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1902569411
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameOLIVIA I GROZENSKICredential: NP
Location Address15555 NORTHLINE RDSouthgate, MI 48195-1896
Mailing Address24679 Emily DrBrownstown, MI 48183-5422 · (734) 837-1777
Sole ProprietorNo
Enumeration DateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
NPI 1902569411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MI · 4704342485
15555 NORTHLINE RD, Southgate, MI 48195

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
15555 NORTHLINE RD
SOUTHGATE, MI 48195
Pediatrics
15555 NORTHLINE RD
SOUTHGATE, MI 48195
Pediatrics
15555 NORTHLINE RD
SOUTHGATE, MI 48195
Pediatrics
15555 NORTHLINE RD
SOUTHGATE, MI 48195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olivia Grozenski's NPI number?

The NPI number for Olivia Grozenski is 1902569411. It was assigned to this individual provider in the NPPES registry on October 21, 2021.

Where is Olivia Grozenski located?

Olivia Grozenski practices at 15555 Northline Rd, Southgate, MI 48195. The listed phone number is (734) 285-3090.

What is Olivia Grozenski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Olivia Grozenski was last updated on October 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.