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
Mailing address4206 Pontiac Lake Rd, Waterford, MI 48328-1261