Individual provider · Type 1 NPI

Gala Rochelle Livous

Nurse Practitioner · Detroit, MI

NPI number 1699655944 Active

Practice location

18282 Woodingham Dr
Detroit, MI 48221-2154

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704283225 (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…

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About NPI 1699655944

Gala Rochelle Livous's National Provider Identifier is 1699655944, issued on Sep 6, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Detroit, MI. The record was last updated on Sep 6, 2025.