Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MS. MICHELLE ANNE LIVELY
Active
Individual
MS. MICHELLE ANNE LIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, WHNP-BC, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
633908
TX
363LW0102X
Women's Health Nurse Practitioner
633908
TX
Other
Enumeration date
09/25/2006
Last updated
06/25/2021
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