Pourciau, Dusty Cole

Pourciau, Dusty Cole is an sole proprietor health care provider with primary practice located at 8118 Good Luck Rd , Lanham MD 20706-3574. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Pourciau, Dusty Cole can be contacted via phone (301) 324-4968.

Contact Information

Primary practice address
8118 Good Luck Rd Lanham MD 20706-3574
Phone: (301) 324-4968
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN114399 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R230004 Maryland

Profile Details

NPI number 1265732564
LBN Legal business name Pourciau, Dusty Cole
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2010
Last updated Jan 8th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265732564 NPPES
Louisiana Other RN114399 RN LICENSE

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