Provider Demographics
NPI:1790784213
Name:TREASURE, OLIVINE ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:OLIVINE
Middle Name:ANNE
Last Name:TREASURE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:O. ANNE
Other - Middle Name:
Other - Last Name:TREASURE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 4159
Mailing Address - Street 2:
Mailing Address - City:KINGSHILL
Mailing Address - State:VI
Mailing Address - Zip Code:00851-4159
Mailing Address - Country:US
Mailing Address - Phone:340-719-9876
Mailing Address - Fax:340-773-0600
Practice Address - Street 1:BARREN SPOT VILLAGE MALL STE7
Practice Address - Street 2:RR2 10572
Practice Address - City:KINGSHILL
Practice Address - State:VI
Practice Address - Zip Code:00850-9604
Practice Address - Country:US
Practice Address - Phone:340-719-9876
Practice Address - Fax:340-773-0600
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-18
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI1068207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology