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EDIE B. POURCIAU, NP
NPI 1457769358
Clinic/Center - Multi-Specialty in New Iberia, LA

Active since July 24, 2014
124 E MAIN ST STE 104, NEW IBERIA, LA 70560(337) 608-9922(337) 608-9933 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2024, Dec 16, 2021, Jul 13, 2021 and 1 more (4 updates tracked since 2021).

About Edie B. Pourciau, Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDIE B. POURCIAU, NP (NPI 1457769358) is a healthcare organization registered as a multi-specialty in New Iberia, Louisiana and active in the NPI registry since July 2014. The organization lists Edie B Pourciau, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1457769358
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameEDIE BOUDREAUX LLC
Location Address124 E MAIN ST STE 104New Iberia, LA 70560-3725
Mailing AddressPo Box 9227New Iberia, LA 70562-9227 · (337) 608-9922 · Fax (337) 608-9933
Phone(337) 608-9922
Fax(337) 608-9933
Organization SubpartYes
Authorized OfficialEdie B PourciauOwner/nurse Practitioner · (337) 608-9922
Enumeration DateJuly 24, 2014
Last NPPES UpdateSeptember 4, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
✔ NPI 1457769358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedNursing CareTaxonomy 251J00000X
Also ListedPoint of ServiceTaxonomy 305S00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
124 E MAIN ST STE 104, New Iberia, LA 70560
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Other Names 1

Doing Business AsEdie B. Pourciau, Np

Other Identifiers 1

Medicaid1309877LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edie Boudreaux LLC's NPI number?

The NPI number for Edie Boudreaux LLC is 1457769358. It was assigned to this organization in the NPPES registry on July 24, 2014. The provider is doing business as Edie B. Pourciau, Np.

Where is Edie Boudreaux LLC located?

Edie Boudreaux LLC is located at 124 E Main St Ste 104, New Iberia, LA 70560. The listed phone number is (337) 608-9922.

What is Edie Boudreaux LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Edie Boudreaux LLC was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.