Individual
DUSTY COLE POURCIAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3574
(301) 324-4968
Mailing address
7777 HENNESSY BLVD, STE 301, BATON ROUGE, LA 70808-0319
(225) 769-4403
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R230004
MD
367500000X
Certified Registered Nurse Anesthetist
RN114399
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN114399
RN LICENSE
LA
Enumeration date
11/02/2010
Last updated
01/08/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us