Individual provider · Type 1 NPI

Ilana Samantha San Souci, DNP, FNP-C, BSN, RN

Nurse Practitioner · Livonia, MI

NPI number 1598470189 Active

Practice location

19000 St Joes Pkwy Ste 140
Livonia, MI 48152-1477

Call (734) 213-3688 Map

Fax (734) 213-3687

Mailing address

24 Frank Lloyd Wright Dr # J2000
Ann Arbor, MI 48105-9484

Other practice locations

24 Frank Lloyd Wright Dr Ste J2000, Ann Arbor, MI 48105-9484 · (734) 747-6766
1205 Langhorne Newtown Rd Ste 102B, Langhorne, PA 19047-1220 · (215) 710-2633

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	SP032955 (PA)
Nurse Practitioner Primary	363L00000X	4704330052 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

5 other providers at this address

Other nurse practitioner providers in Livonia

See all in Livonia →

About NPI 1598470189

Ilana Samantha San Souci, DNP, FNP-C, BSN, RN's National Provider Identifier is 1598470189, issued on Jan 18, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Livonia, MI. The record was last updated on Jun 2, 2025.