MEDICARE: CORY D THERIOT APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	AP04897	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568485837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORY D THERIOT APRN

Provider Business Mailing Address
First Line	:	PO BOX 80055
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70598-0055
Country	:	US
Telephone Number	:	337-344-4977
Fax Number	:	337-408-1341

Provider Business Practice Location Address
First Line	:	213 E ETIENNE RD
Second Line	:
City	:	MAURICE
State	:	LA
Zip	:	70555-4375
Country	:	US
Telephone Number	:	373-740-9663
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	06/25/2025

Similar Medicare Providers

1740044932 — MRS. ERICA DANIELLE JOHNSON-BENJAMIN PMHNP
Practice Location Address:

213 E ETIENNE RD
MAURICE, LA
70555-4375

Practice Phone: 318-308-8434
Practice Fax: 318-310-1323

1942029129 — OPTI-HEALTH LLC
Practice Location Address:

213 E ETIENNE RD
MAURICE, LA
70555-4375

Practice Phone: 337-740-9663
Practice Fax:

1932172822 — MARCELLA MANUEL LPC
Practice Location Address:

14514 LA HIGHWAY 92
MAURICE, LA
70555-3044

Practice Phone: 337-893-6767
Practice Fax:

1285680314 — DR. CHER YAN AYMOND MD
Practice Location Address:

207 MILTON RD
MAURICE, LA
70555-4448

Practice Phone: 337-898-9449
Practice Fax: 337-898-9556

1356380760 — PATIENTS CARE MEDICAL SUPPLY, INC.
Practice Location Address:

8907 MAURICE AVE , SUITE B
MAURICE, LA
70555-4439

Practice Phone: 337-989-0005
Practice Fax: 337-989-0006

1417987314 — ABSHIRE CHIROPRACTIC, LLC
Practice Location Address:

7992 MAURICE AVENUE
MAURICE, LA
70555-0490

Practice Phone: 337-898-0522
Practice Fax: 337-898-2025

Directions to “ CORY D THERIOT APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.