Provider Demographics
NPI:1508892456
Name:OLIVIER, CLAIRE MARIE (PMHNP, APRN, CS, PC)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:MARIE
Last Name:OLIVIER
Suffix:
Gender:F
Credentials:PMHNP, APRN, CS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 FAUNCE CORNER RAOD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747
Mailing Address - Country:US
Mailing Address - Phone:508-993-3000
Mailing Address - Fax:508-993-3009
Practice Address - Street 1:88 FAUNCE CORNER RD UNIT 220
Practice Address - Street 2:
Practice Address - City:DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-1261
Practice Address - Country:US
Practice Address - Phone:508-993-3000
Practice Address - Fax:508-993-3009
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR900065363LP0808X
MA191170364SP0810X, 364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SP0810XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Family
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANS0324Medicare ID - Type Unspecified