TYLER TRENTON WANSLEY

MANDEVILLE, LA
NPI1962035964
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  211117)
Enumeration Date2020-02-18
Last Update Date2020-04-29
Business Address
Dr. TYLER TRENTON WANSLEY DNP, PMHNP-BC
23515 US-190
MANDEVILLE, LA 70448
Phone number: 985-626-6300
Mailing Address
Dr. TYLER TRENTON WANSLEY DNP, PMHNP-BC
23515 HIGHWAY 190
MANDEVILLE, LA 70448-7334
Phone number: 985-626-6300