Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS NINA RAE LIVERMORE, MD
Active Sole ProprietorMISS NINA RAE LIVERMORE, MD is a Plastic Surgery healthcare provider located in GRAND RAPIDS, Michigan. NPI 1215562392 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1215562392
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 9, 2020 (6.2459483745779 yrs)
- Last Updated
- Apr 2, 2025
- License
-
4351048541 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
275 MICHIGAN ST NE FL 9GRAND RAPIDS, MI, 495032531Browse MI providers · Browse ZIP 49503
- Phone
- 6163916243
- Fax
- 6163918612
- Primary Specialty
-
Plastic Surgery
208200000X
Other Plastic Surgery Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID ARTHUR VANDERWALL | M.D. | 1922002419 |
| MR. WILLIAM DAVID MOORE | M.D. | 1346244837 |
| MR. STEVEN LOREN RINGLER | M.D. | 1003810425 |
| MR. BRADLEY PAUL BENGTSON | M.D. | 1447254867 |
| MR. DOUGLAS LEE VANDER WOUDE | MD | 1235133653 |
| MR. JOHN DAVID RENUCCI | M.D. | 1487659827 |
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.