Healthcare Provider Details

I. General information

NPI: 1649167875
Provider Name (Legal Business Name): KATELYN BLANCHARD OLIVIER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2025
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

852 CENTURION LN
HOUMA LA
70360-5425
US

IV. Provider business mailing address

8911 N CAPITAL OF TEXAS HWY STE 1110
AUSTIN TX
78759-7203
US

V. Phone/Fax

Practice location:
  • Phone: 985-851-2307
  • Fax:
Mailing address:
  • Phone: 877-279-5960
  • Fax: 877-384-3106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number241891
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: