Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 201412 | LA |
NPI | 1023208337 |
---|---|
Provider Name | Erinn W Olivier |
First Address | New Iberia, LA 70560-4046 |
Second Address | New Iberia, LA 70560-4046 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2007 |
Last Update Date | 14/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1091243 | (05) | LA |