Pourciau, Edie B

Pourciau, Edie B is an individual health care provider with primary practice located at 124 E Main St Ste. 104, New Iberia LA 70560. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Pourciau, Edie B can be contacted via phone (337) 608-9922.

Contact Information

Primary practice address
124 E Main St Ste. 104 New Iberia LA 70560
Phone: (337) 608-9922
Fax: (337) 608-9933
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN102783 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP05466 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP05466 Louisiana

Profile Details

NPI number 1659557940
LBN Legal business name Pourciau, Edie B
Credentials PMHNP-NP, ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2008
Last updated Dec 14th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659557940 NPPES
Louisiana Other 2515256 AETNA
Louisiana Other 11849024 AETNA
Louisiana MEDICAID 1309877 AETNA

Popular Providers