Active NPI
Michele Mary Olzack, C.N.P.
- Nurse Practitioner
- West Bloomfield, MI
National Provider Identifier
1861617813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704117965
- Practice address
- 6777 W Maple Rd
Department of OBGYN
West Bloomfield, MI 48322-3013 - Phone
- (248) 661-6450
- Fax
- (248) 661-7154
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704117965 | MI | Primary |
Addresses
Primary practice location
6777 W Maple Rd
Department of OBGYN
West Bloomfield, MI 48322-3013
Mailing address
6777 W Maple Rd
Department of OBGYN
West Bloomfield, MI 48322-3013
Phone (248) 661-6450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704117965 | MI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861617813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6777 W MAPLE RD",
"address_2": "DEPARTMENT OF OBGYN",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223013",
"telephone_number": "248-661-6450",
"fax_number": "248-661-7154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6777 W MAPLE RD",
"address_2": "DEPARTMENT OF OBGYN",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223013",
"telephone_number": "248-661-6450",
"fax_number": "248-661-7154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLZACK",
"first_name": "MICHELE",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "C.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704117965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bloomfield, MI
- Kristin M. Oleszkowicz, PA-C
- Sandra Oliver-McNeil, NURSE PRACTITIONER
- Rochelle Colleen Olmsted, BEHAVIOR TECHNICIAN
- Kathleen West Olsen, RN, NP
- John Thomas Olson, AGNP-C
- On the Road to Recovery
- One Family Health LLC (One Family Health)
- Onward Health (Onward Health, PC)
- Open Heart Communities
- Optimum Michigan Home Healthcare
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.