Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Walter P Theriot, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1356346316

Walter P Theriot, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Pine Bluff, Arkansas. Qualified in 1988, 38 years ago. Practices with Jefferson Regional Anesthesia LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
38
Licensed in
AR
In the registry since
2005
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1801 W 40th Ave Ste 2B
Pine Bluff, AR 71603-6957
Phone: (870) 535-7457
Fax: (870) 535-2522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence C00615 (AR)

Record details

NPI number1356346316
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 16, 2005
Last updated in NPPESJune 24, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Jefferson Regional Anesthesia Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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