Provider Demographics
NPI:1649676198
Name:SAGER, OLIVIA LEA (MSN, RN, CPNP)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:LEA
Last Name:SAGER
Suffix:
Gender:F
Credentials:MSN, RN, CPNP
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:LEA
Other - Last Name:ATKINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, RN, CPNP
Mailing Address - Street 1:3481 FM 237
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78164-5688
Mailing Address - Country:US
Mailing Address - Phone:225-718-8953
Mailing Address - Fax:
Practice Address - Street 1:601 E AIRLINE RD
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-3926
Practice Address - Country:US
Practice Address - Phone:361-575-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-11
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX734084363L00000X
TXAP126840363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner