Stephen Theriault, PA-C
NPI 1134262710 · Surgical Physician Assistant · Melbourne, FL
Stephen Theriault, PA-C is a Surgical Physician Assistant provider in Melbourne, FL (NPI 1134262710).
Provider details
- NPI number
- 1134262710
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 0227 (NH)
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2010-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.