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Contact Information

CANDICE A BOUDREAUX
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA70601-5724
 Phone: 337-312-8291
 Fax: 337-312-6073
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CANDICE A BOUDREAUX · (Female)

NPI Number 1780196907
Status Active
Credentials
Entity Individual
Enumeration date 10/27/2017
Last updated 01/05/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • LA License # AP09674
Hospital affiliation(s)
  • CHRISTUS ST PATRICK HOSPITAL - (Acute Care)
    524 DR MICHAEL DEBAKEY STREET
    LAKE CHARLES, LA 70601
  • WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES - (Acute Care)
    4200 NELSON ROAD
    LAKE CHARLES, LA 70605
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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