Provider Demographics
NPI:1457345308
Name:OLIVIER, BERNADETTE (MSN, APRN, CNM FNP-C)
Entity Type:Individual
Prefix:MS
First Name:BERNADETTE
Middle Name:
Last Name:OLIVIER
Suffix:
Gender:F
Credentials:MSN, APRN, CNM FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2302 COUNTY ROAD 124
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-8213
Mailing Address - Country:US
Mailing Address - Phone:281-688-4888
Mailing Address - Fax:281-208-7353
Practice Address - Street 1:2837 DULLES AVE
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2950
Practice Address - Country:US
Practice Address - Phone:281-688-4888
Practice Address - Fax:281-208-7353
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP113162363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB118828OtherMEDICARE