Provider Demographics
NPI:1023208337
Name:OLIVIER, ERINN W (MD)
Entity Type:Individual
Prefix:
First Name:ERINN
Middle Name:W
Last Name:OLIVIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2309 E MAIN ST
Mailing Address - Street 2:SUITE 501
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-4046
Mailing Address - Country:US
Mailing Address - Phone:337-256-5317
Mailing Address - Fax:337-256-8389
Practice Address - Street 1:2309 E MAIN ST
Practice Address - Street 2:SUITE 501
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-4046
Practice Address - Country:US
Practice Address - Phone:337-256-5317
Practice Address - Fax:337-256-8389
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA201412390200000X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1091243Medicaid