Individual provider Active NPI

Zohra Wardak, FNP-BC

  • Family Nurse Practitioner
  • Hartland, MI
National Provider Identifier
1295435543
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704394624NSA220PX Issued in MI
Practice address
10112 Highland Rd
Hartland, MI 48353-2522
Phone
(810) 632-6123
Fax
(810) 632-6233
NPI assigned
Mar 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704394624NSA220PX MI Primary

Addresses

Primary practice location

10112 Highland Rd
Hartland, MI 48353-2522

Mailing address

10112 Highland Rd
Hartland, MI 48353-2522
Phone (810) 632-6123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704394624NSA220PXMIMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1295435543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10112 HIGHLAND RD",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532522",
            "telephone_number": "810-632-6123",
            "fax_number": "810-632-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10112 HIGHLAND RD",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532522",
            "telephone_number": "810-632-6123",
            "fax_number": "810-632-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDAK",
        "first_name": "ZOHRA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704394624NSA220PX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, MI

Sources for this page

Verify at the official NPI Registry.