# MARIE NICHOLE LIVESEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1467985341
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0102208602 | VA | — |
| 207Q00000X | Family Medicine Physician | 01081198A | IN | Yes |

## Other

- **Enumeration date:** 04/06/2017
- **Last updated:** 08/21/2026