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Mr. Matthew Blaine Theriot, NP
Nurse Practitioner in Opelousas, Louisiana
NPI 1346296027

Matthew Blaine Theriot is a Nurse Practitioner based in Opelousas, LA. Matthew Blaine Theriot practices in Opelousas, LA and has the professional credentials of NP. The NPI Number for Matthew Blaine Theriot is 1346296027 and holds a License No. AP04908 (Louisiana).

The current practice location address for Matthew Blaine Theriot is 2362 Larkspur Ln, Opelousas, LA and can be reached out via phone at 337-594-0675 and via fax at 337-594-0850.

Location: 2362 Larkspur Ln, Opelousas, LA, 70570-8674
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346296027
Provider Name
Matthew Blaine Theriot
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
2362 Larkspur Ln, Opelousas, LA, 70570-8674
Phone Number
337-594-0675
Fax Number
337-594-0850
Provider Enumeration Date
05/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1527408 05 LA
institution
Provider Business Practice Location Address Details
Address
2362 Larkspur Ln
City
Opelousas
State
Louisiana
Zip
70570-8674
Phone Number
337-594-0675
Fax Number
337-594-0850
person
Provider Business Mailing Address Details
Address
2362 Larkspur Ln
City
Opelousas
State
Louisiana
Zip
70570-8674
Phone Number
337-594-0675
Fax Number
337-594-0850
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
AP04908 (Louisiana)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
AP04908 (Louisiana)
Definition
Definition to come...
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