| NPI | 1457769358 |
|---|---|
| Doing Business As | EDIE B. POURCIAU, NP |
| Entity Type | Organization |
| Authorized Contact | EDIE B POURCIAU Owner/Nurse Practitioner 337-608-9922 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 251J00000X Nursing Care | |
| 305S00000X Point of Service | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2021-12-16 |