Individual provider · Type 1 NPI

Amanda Marie Willy

Nurse Practitioner · Port Angeles, WA

NPI number 1790654119 Active

Practice location

1021 Caroline St
Port Angeles, WA 98362-3901

Mailing address

PO Box 24029
Seattle, WA 98124-0029

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XARNP.AP.70086839-NP (WA)
Registered Nurse 163W00000XRN.RN.61057018.MSL (WA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

Other nurse practitioner providers in Port Angeles

See all in Port Angeles →

About NPI 1790654119

Amanda Marie Willy's National Provider Identifier is 1790654119, issued on Nov 3, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Port Angeles, WA. The record was last updated on Mar 31, 2026.