Individual provider · Type 1 NPI
Willie Sly, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Santa Rosa, CA
NPI number
1053166199
Active
Practice location
2448 Guerneville Rd Ste 800
Santa Rosa, CA 95403-7228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5971891 (ID) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95038910 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
5 other providers at this address
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- Shrey Ninad Patel, MDPsychiatry Physician Santa Rosa, CA NPI 1861133118
- Sophia Dhillon, MDPsychiatry Physician Santa Rosa, CA NPI 1578267001
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- Emily FrenchPsychiatric/Mental Health Nurse Practitioner Santa Rosa, CA NPI 1184139040
About NPI 1053166199
Willie Sly, PMHNP-BC's National Provider Identifier is 1053166199, issued on Apr 22, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Santa Rosa, CA. The record was last updated on May 5, 2026.