Individual provider · Type 1 NPI

Mary Michelle Lively, NP-C

Family Nurse Practitioner · Dallas, TX

NPI number 1114261401 Active

About NPI 1114261401

Mary Michelle Lively, NP-C's National Provider Identifier is 1114261401, issued on Nov 27, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, TX. The record was last updated on Sep 20, 2016.