Individual
NEENA LIVERMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
415 MULBERRY ST, EVANSVILLE, IN 47713-1230
(812) 423-7791
(812) 422-7558
Mailing address
415 MULBERRY ST, EVANSVILLE, IN 47713-1230
(812) 423-7791
(812) 422-7558
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005066A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000966316
ANTHEM
IN
05
—
201248200
—
IN
01
—
834950008
MEDICARE
IN
Enumeration date
08/17/2014
Last updated
04/17/2017
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