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

Andreise Laurian Nazzaria Rosa de Souza

Individual provider Family Medicine Physician · NPI 1972233963

Andreise Laurian Nazzaria Rosa de Souza is a Family Practice in Roseville, Michigan. Qualified in 2006, 20 years ago. Practices with Oakwood Ambulatory LLC, a 272-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
20
Licensed in
MI
In the registry since
2022
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Practice location Address checks out

30695 Little Mack Ave Ste 200
Roseville, MI 48066-1781
Phone: (586) 294-9600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 — (586) 498-4422

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301511970 (MI)

Record details

NPI number1972233963
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 14, 2022
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Oakwood Ambulatory Llc — 272 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Roseville