Organization
EDIE BOUDREAUX LLC
Active
Parent organization
EDIE BOUDREAUX LLC
Other names
EDIE B. POURCIAU, NP
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDIE BOUDREAUX LLC
Authorized official
EDIE B POURCIAU PMHNP-BC, ANP-BC (OWNER/NURSE PRACTITIONER)
(337) 608-9922
Entity
Organization
Contact information
Practice address
124 E MAIN ST STE 104, NEW IBERIA, LA 70560-3725
(337) 608-9922
(337) 608-9933
Mailing address
PO BOX 9227, NEW IBERIA, LA 70562-9227
(337) 608-9922
(337) 608-9933
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
251J00000X
Nursing Care Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
305S00000X
Point of Service
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1309877
—
LA
Enumeration date
07/24/2014
Last updated
09/04/2024
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