National Provider Identifier

Trent Vernon Wyland, PMHNP-BC

Trent Vernon Wyland, PMHNP-BC is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 256-7500.

NPI 1578380093Rochester, NYPsychiatric/Mental Health Nurse Practitioner

Profile Overview

NPI
1578380093
Provider Type
Individual
Primary Specialty
Psychiatric/Mental Health Nurse Practitioner
Enumeration Date
September 25, 2024
Last Updated
September 25, 2024

Practice Location

  • 1183 Monroe Ave
  • Rochester, NY 14620-1662

Phone: (585) 256-7500

Mailing Address

  • 529 Garnsey RD
  • Fairport, NY 14450-3924

Specialties

  • Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
  • Psychiatric/Mental Health Registered Nurse (163WP0808X)
Full Record
NPI
1578380093
Entity Type
Individual
Last Name
Wyland
First Name
Trent
Middle Name
Vernon
Credential
PMHNP-BC
Mailing Street Address
529 Garnsey RD
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-3924
Mailing Country
US
Mailing Phone
(585) 645-8073
Practice Street Address
1183 Monroe Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-1662
Practice Country
US
Practice Phone
(585) 256-7500
Enumeration Date
September 25, 2024
Last Updated
September 25, 2024
Sex
Male
Sole Proprietor
No
Certification Date
September 25, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Psychiatric/Mental Health Registered Nurse (163WP0808X)