Individual
PAMELA ANN POURCIAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 RUE DE SANTE, SUITE 103, LA PLACE, LA 70068-5424
(985) 653-9675
(985) 652-7893
Mailing address
502 RUE DE SANTE, SUITE 103, LA PLACE, LA 70068-5424
(985) 653-9675
(985) 652-7893
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APO6794
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A0312016
AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION #
—
01
—
APO 6794
ADVANCED PRACTICE NURSE
LA
01
—
PA ID # 010306
LA STATE BOARD OF NURSING PRESCRIPTIVE AND DISTRIBUTING IDENTIFICATION NUMER
LA
Enumeration date
05/30/2012
Last updated
05/30/2012
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