Edie B. Pourciau, Np

LBN: Edie Boudreaux Llc
Edie B. Pourciau, Np is an health care organization with primary practice located at 124 E Main St Ste 104 , New Iberia LA 70560-3725. The organization recently has 7 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Agencies / Nursing Care, Ambulatory Health Care Facilities / Multi-Specialty, Managed Care Organizations / Point of Service, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Edie Boudreaux Llc can be contacted via phone (337) 608-9922, or through Pourciau, Edie B via phone (337) 608-9922.

Contact Information

Primary practice address
124 E Main St Ste 104 New Iberia LA 70560-3725
Phone: (337) 608-9922
Fax: (337) 608-9933
Website:
Map and Directions
Authorized official contact:
Name: Pourciau, Edie B PMHNP-BC, ANP-BC
Phone: (337) 608-9922

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X
Agencies / Nursing Care 251J00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Managed Care Organizations / Point of Service 305S00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1457769358
LBN Legal business name Edie Boudreaux Llc
DBA Doing business as Edie B. Pourciau, Np
Authorized official Pourciau, Edie B PMHNP-BC, ANP-BC
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 24th, 2014
Last updated Dec 16th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457769358 NPPES
Louisiana MEDICAID 1309877

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