Individual provider · Type 1 NPI

Alisha Boudreaux

Pediatric Nurse Practitioner · Lake Charles, LA

NPI number 1922416841 Active

Practice location

2000 Opelousas St
Lake Charles, LA 70601-2641

Fax (337) 439-8898

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAP07984 (LA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1922416841

Alisha Boudreaux's National Provider Identifier is 1922416841, issued on Jul 23, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lake Charles, LA. The record was last updated on Jun 10, 2026.