Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Candice Alea Boudreaux

Individual provider Nurse Practitioner · NPI 1780196907

Candice Alea Boudreaux is a Nurse Practitioner in Lake Charles, Louisiana. Qualified in 2017, 9 years ago. Practices with Calcasieu Urgent Care LLC, a 135-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
9
Licensed in
LA
In the registry since
2017
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Practice location Address checks out

501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone: (337) 312-8291
Fax: (337) 312-6073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP09674 (LA)

Record details

NPI number1780196907
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 27, 2017
Last updated in NPPESJanuary 5, 2018
Mailing address501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Calcasieu Urgent Care Llc — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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