Healthcare Provider Details

I. General information

NPI: 1023208337
Provider Name (Legal Business Name): ERINN W OLIVIER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2007
Last Update Date: 02/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2309 E MAIN ST SUITE 501
NEW IBERIA LA
70560-4046
US

IV. Provider business mailing address

2309 E MAIN ST SUITE 501
NEW IBERIA LA
70560-4046
US

V. Phone/Fax

Practice location:
  • Phone: 337-256-5317
  • Fax: 337-256-8389
Mailing address:
  • Phone: 337-256-5317
  • Fax: 337-256-8389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number201412
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number201412
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: