1457769358 EDIE BOUDREAUX LLC

Multi-Specialty Clinic/Center

Active

Basic Information

Organization Name
EDIE BOUDREAUX LLC
Enumeration Date
July 24, 2014
Last Update
September 4, 2024
Authorized Official
EDIE B POURCIAU PMHNP-BC, ANP-BC
OWNER/NURSE PRACTITIONER
Phone: (337) 608-9922

Practice Location

Address
124 E MAIN ST STE 104
NEW IBERIA, LA 705603725
Phone
(337) 608-9922
Fax
(337) 608-9933

Mailing Address

Address
PO BOX 9227
NEW IBERIA, LA 705629227
Phone
(337) 608-9922
Fax
(337) 608-9933

Specialties & Taxonomies

Specialty Code Classification License State Primary
Registered Nurse
163W00000X Registered Nurse N/A N/A No
Nursing Care Agency
251J00000X Nursing Care N/A N/A No
Point of Service
305S00000X Point of Service N/A N/A No
Nurse Practitioner
363L00000X Nurse Practitioner N/A N/A No
Psychiatric/Mental Health Nurse Practitioner
Psychiatric/Mental Health
363LP0808X Nurse Practitioner N/A N/A No
Family Nurse Practitioner
Family
363LF0000X Nurse Practitioner N/A N/A No
Multi-Specialty Clinic/Center
Multi-Specialty
261QM1300X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
1309877 05 LA N/A

Frequently Asked Questions

What is EDIE BOUDREAUX LLC's NPI number?
EDIE BOUDREAUX LLC's NPI number is 1457769358.
Which doctor has NPI number 1457769358?
The doctor with NPI number 1457769358 is EDIE BOUDREAUX LLC.
What is EDIE BOUDREAUX LLC's practice address?
EDIE BOUDREAUX LLC's practice address is 124 E MAIN ST STE 104, NEW IBERIA, LA, 705603725.
Which doctor practices at 124 E MAIN ST STE 104, NEW IBERIA, LA, 705603725?
EDIE BOUDREAUX LLC practices at 124 E MAIN ST STE 104, NEW IBERIA, LA, 705603725.
What is EDIE BOUDREAUX LLC's mailing address?
EDIE BOUDREAUX LLC's mailing address is PO BOX 9227, NEW IBERIA, LA, 705629227.
What is EDIE BOUDREAUX LLC's phone number?
EDIE BOUDREAUX LLC's phone number is (337) 608-9922.
Who is (337) 608-9922?
(337) 608-9922 is the phone number for EDIE BOUDREAUX LLC.
What is EDIE BOUDREAUX LLC's specialty?
EDIE BOUDREAUX LLC's specialty is Multi-Specialty Clinic/Center.
What type of doctor is EDIE BOUDREAUX LLC?
EDIE BOUDREAUX LLC is a Multi-Specialty Clinic/Center.
Is EDIE BOUDREAUX LLC a Multi-Specialty?
Yes, EDIE BOUDREAUX LLC is a Multi-Specialty.
Is EDIE BOUDREAUX LLC still practicing?
Yes, EDIE BOUDREAUX LLC is currently practicing.
Is EDIE BOUDREAUX LLC accepting new patients?
EDIE BOUDREAUX LLC may be accepting new patients. Please call their office at (337) 608-9922 to inquire about availability.
Is NPI 1457769358 still active?
Yes, NPI 1457769358 is currently active.
Where does EDIE BOUDREAUX LLC practice?
EDIE BOUDREAUX LLC practices in NEW IBERIA, LA.