Individual
FLORENCE M LIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
141 KEDDIE ST, FALLON, NV 89406-2820
(775) 423-7141
(775) 423-4020
Mailing address
727 FAIRVIEW DR STE A, CARSON CITY, NV 89701-5493
(775) 684-5000
(775) 681-1811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
19995
NV
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN19995
NV
Other
Enumeration date
12/09/2006
Last updated
11/18/2021
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