Provider Demographics
NPI:1497427090
Name:WYLAND, KEARSTIN KAYE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:KEARSTIN
Middle Name:KAYE
Last Name:WYLAND
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 WERTZ DR
Mailing Address - Street 2:
Mailing Address - City:TYRONE
Mailing Address - State:PA
Mailing Address - Zip Code:16686-7738
Mailing Address - Country:US
Mailing Address - Phone:814-327-8620
Mailing Address - Fax:
Practice Address - Street 1:2000 CLIFFMINE RD STE 500
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15275-1053
Practice Address - Country:US
Practice Address - Phone:878-201-3312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP024347363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily