Individual
MS. REBECCA B THERIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
800 KALISTE SALOOM RD, LAFAYETTE, LA 70508-4210
(337) 233-2400
(337) 232-3656
Mailing address
PO BOX 1002, CARENCRO, LA 70520-1002
(337) 788-0177
(337) 232-3656
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP07092
LA
Other
Enumeration date
10/09/2012
Last updated
08/20/2020
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