Individual
ILANA SAMANTHA SAN SOUCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C, BSN, RN
Contact information
Practice address
19000 ST JOES PKWY STE 140, LIVONIA, MI 48152-1477
(734) 213-3688
(734) 213-3687
Mailing address
24 FRANK LLOYD WRIGHT DR # J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704330052
MI
363L00000X
Nurse Practitioner
SP032955
PA
Other
Enumeration date
01/18/2023
Last updated
06/02/2025
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