Individual provider · Type 1 NPI
Li Song, NP
Primary Care Nurse Practitioner · Waterford, MI
NPI number
1043601164
Active
Practice location
4206 Pontiac Lake Rd
Waterford, MI 48328-1261
Fax (248) 742-1654
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 4704261932 (MI) |
| Family Nurse Practitioner | 363LF0000X | 4704261932 (MI) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 4704261932 (MI) |
Primary Care Nurse Practitioner: Definition to come...
5 other providers at this address
- Eric Brattinga, PTPhysical Therapist Waterford, MI NPI 1851343347
- Iryna Wolberg, DNPNurse Practitioner Waterford, MI NPI 1609282565
- Laura Bell, PTPhysical Therapist Waterford, MI NPI 1669650321
- Lisa Lewis, DPTPhysical Therapist Waterford, MI NPI 1760660419
- Mazher Hussain, MDPain Medicine Physician Waterford, MI NPI 1134161292
Other primary care nurse practitioner providers in Waterford
About NPI 1043601164
Li Song, NP's National Provider Identifier is 1043601164, issued on Feb 11, 2015. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Waterford, MI. The record was last updated on Aug 5, 2025.