OrganizationActive
Edie Boudreaux LLC
NPI 1457769358 · Multi-Specialty Clinic/Center · New Iberia, LA
Provider details
- NPI number
- 1457769358
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Edie Boudreaux LLC
- Authorized official
- Edie Pourciau, Owner/Nurse Practitioner
Practice location
124 E Main St Ste 104
New Iberia, LA 70560-3725
Phone: (337) 608-9922
Fax: (337) 608-9933
Mailing address
Po Box 9227
New Iberia, LA 70562-9227
Registry dates
- Enumerated
- 2014-07-24
- Last updated
- 2024-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.