Individual
ASHLEY TERRITO POURCIAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
310 DUREL DR, NEW ROADS, LA 70760-2973
(225) 713-2400
(225) 713-2405
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 713-2400
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07361
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2343866
—
LA
Enumeration date
07/10/2013
Last updated
04/14/2022
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