Provider Demographics
NPI:1821631847
Name:HODZIC, ZLATA (NP-BC)
Entity Type:Individual
Prefix:MS
First Name:ZLATA
Middle Name:
Last Name:HODZIC
Suffix:
Gender:F
Credentials:NP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1961 S TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-0246
Mailing Address - Country:US
Mailing Address - Phone:248-319-6190
Mailing Address - Fax:248-607-6362
Practice Address - Street 1:1961 S TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-0246
Practice Address - Country:US
Practice Address - Phone:248-319-6190
Practice Address - Fax:248-607-6362
Is Sole Proprietor?:No
Enumeration Date:2019-10-22
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704288639363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily