Individual
EVETHA MALCOLM-THERIAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3311 GULF BREEZE PKWY # 110, GULF BREEZE, FL 32563-3351
(850) 339-0728
Mailing address
3311 GULF BREEZE PKWY # 110, GULF BREEZE, FL 32563-3351
(850) 339-0728
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT92594
TX
133V00000X
Registered Dietitian
DTND346
AK
133V00000X
Registered Dietitian
LD006224
GA
133V00000X
Registered Dietitian
Primary
ND10329
FL
Other
Enumeration date
06/22/2017
Last updated
01/23/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us