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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LI SONG, NP

Active Sole Proprietor

LI SONG, NP is a Primary Care Nurse Practitioner healthcare provider located in WATERFORD, Michigan. NPI 1043601164 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · WATERFORD, MI

Registration Details

NPI Number
1043601164
Provider Type
Individual
Gender
Female
NPI Issued
Feb 11, 2015 (11.490142898505 yrs)
Last Updated
Aug 5, 2025
Licenses
4704261932 (MI)
4704261932 (MI)
4704261932 (MI)
Sole Proprietor
Yes

Practice Information

Address
4206 PONTIAC LAKE RD
WATERFORD, MI, 483281261
Browse MI providers · Browse ZIP 48328
Phone
2487421638
Fax
2487421654
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X
Additional Specialty
Family Nurse Practitioner

Other Primary Care Nurse Practitioner Providers in WATERFORD, MI

Name Credential NPI
CLAIRE GEBARA NP 1245830264
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.