Individual provider · Type 1 NPI

Candice Alea Boudreaux

Nurse Practitioner · Lake Charles, LA

NPI number 1780196907 Active

Practice location

501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724

Call (337) 312-8291 Map

Fax (337) 312-6073

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP09674 (LA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1780196907

Candice Alea Boudreaux's National Provider Identifier is 1780196907, issued on Oct 27, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lake Charles, LA. The record was last updated on Jan 5, 2018.