Pourciau, Edie B
Pourciau, Edie B is an individual health care provider with primary practice located at 500 Patterson St , Lafayette LA 70501-1849. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Pourciau, Edie B can be contacted via phone (337) 769-9451.Contact Information
Primary practice address
500 Patterson St
Lafayette LA 70501-1849
Phone: (337) 769-9451
Fax: (337) 769-9460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP05466 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP05466 | Louisiana |
| Nursing Service Providers / Registered Nurse | 163W00000X | RN102783 | Louisiana |
Profile Details
| NPI number | 1659557940 |
|---|---|
| LBN Legal business name | Pourciau, Edie B |
| Credentials | ANP-BC,PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2008 |
| Last updated | Sep 29th, 2026 - about 12.968368055556 days 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659557940 | NPPES |
| Louisiana | MEDICAID | 1309877 | |
| Louisiana | Other | 11849024 | |
| Louisiana | Other | 2515256 |
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