Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Nina Rae Livermore, MD

Individual provider Plastic Surgery Physician · NPI 1215562392

Miss. Nina Rae Livermore, MD is a Plastic Surgery Physician in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

275 Michigan St NE Fl 9
Grand Rapids, MI 49503-2531
Phone: (616) 391-6243
Fax: (616) 391-8612
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 4351048541 (MI)

Record details

NPI number1215562392
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 9, 2020
Last updated in NPPESJuly 26, 2026
Certification dateJuly 26, 2026

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