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NPI Code Detail

MEDICARE: EDIE B POURCIAU ANP-BC,PMHNP-BC

MEDICARE: EDIE B POURCIAU ANP-BC,PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN102783LA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP05466LA
3363LA2200XAdult Health Nurse PractitionerAP05466LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111849024OTHERLACAQH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
32515256OTHERLAAETNA

General Provider Information

NPI Number : 1659557940
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDIE B POURCIAU ANP-BC,PMHNP-BC
Provider Business Mailing Address
First Line : PO BOX 9227
Second Line :
City : NEW IBERIA
State : LA
Zip : 70562-9227
Country : US
Telephone Number : 337-608-9922
Fax Number : 337-608-9933
Provider Business Practice Location Address
First Line : 500 PATTERSON ST
Second Line :
City : LAFAYETTE
State : LA
Zip : 70501-1849
Country : US
Telephone Number : 337-769-9451
Fax Number : 337-769-9460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2008
Last Update Date : 02/06/2026

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