Healthcare Provider Details

I. General information

NPI: 1588549687
Provider Name (Legal Business Name): ERIN NICOLE WAYLAND MS, RDN, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11909 PERRY ST
WESTMINSTER CO
80031-5005
US

IV. Provider business mailing address

11909 PERRY ST
WESTMINSTER CO
80031-5005
US

V. Phone/Fax

Practice location:
  • Phone: 817-228-9409
  • Fax:
Mailing address:
  • Phone: 817-228-9409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: