Provider Demographics
NPI:1184764912
Name:OLINGER, CATHY ANNETTE (CNM,FNP)
Entity type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:ANNETTE
Last Name:OLINGER
Suffix:
Gender:F
Credentials:CNM,FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 GRAND AVE NW
Mailing Address - Street 2:STE A
Mailing Address - City:FORT PAYNE
Mailing Address - State:AL
Mailing Address - Zip Code:35967-2107
Mailing Address - Country:US
Mailing Address - Phone:256-635-6600
Mailing Address - Fax:256-635-6601
Practice Address - Street 1:205 GRAND AVE NW
Practice Address - Street 2:STE A
Practice Address - City:FORT PAYNE
Practice Address - State:AL
Practice Address - Zip Code:35967-2107
Practice Address - Country:US
Practice Address - Phone:256-635-6600
Practice Address - Fax:256-635-6601
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000006371363LF0000X
TN081283363LX0001X
AL1-055018363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GACRP6522Medicaid
TN4066126OtherBLUE CROSS
TN3716358Medicaid
TNTN0160OtherJOHN DEAR
539539OtherUPIN
TN3660646Medicare Oscar/Certification
TNTN0160OtherJOHN DEAR