Dr. Tyler Trenton Wansley, DNP, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Mandeville, LA. Individual provider (NPI-1).
NPI number1962035964
StatusActive
Last updated in NPPESApr 29, 2020
Details
- NPI
- 1962035964
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tyler Trenton Wansley
- Credential
- DNP, PMHNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 18, 2020
- Certification date
- Apr 29, 2020
- Last updated
- Apr 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 211117 | LA | Yes |
Practice location
23515 Us-190Mandeville, LA 70448
Phone 985-626-6300
Mailing address
23515 Highway 190Mandeville, LA 70448-7334
Phone 985-626-6300
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All 25 Psychiatric/Mental Health Nurse Practitioner providers in Mandeville · All 1,574 providers in Mandeville
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