Individual provider · Type 1 NPI
Madison Theriot Lestage, FNP-C
Nurse Practitioner · Vinton, LA
Practice location
1311 Horridge St
Vinton, LA 70668-4531
Mailing address
212 Orchard Dr
Lake Charles, LA 70605-4444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 206785 (LA) |
Nurse Practitioner: (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 wit…
Other nurse practitioner providers in Vinton
About NPI 1174468995
Madison Theriot Lestage, FNP-C's National Provider Identifier is 1174468995, issued on Apr 20, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Vinton, LA. The record was last updated on Apr 20, 2026.