Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Li Song, NP

Individual provider Interventional Pain Medicine Physician · NPI 1043601164

Li Song, NP is an Interventional Pain Medicine Physician in Waterford, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2015
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

4206 Pontiac Lake Rd
Waterford, MI 48328-1261
Phone: (248) 742-1638
Fax: (248) 742-1654
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 4704261932 (MI)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence 4704261932 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4704261932 (MI)

Record details

NPI number1043601164
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedFebruary 11, 2015
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025