Individual provider · Type 1 NPI

Laretta Moniek Wiley, FNP-BC, PMHNP-BC

Family Nurse Practitioner · Matteson, IL

NPI number 1952885949 Active

Practice location

21224 Gray Hawk Dr
Matteson, IL 60443-3314

Call (773) 814-3885 Map

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X277003478 (IL)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X277003478 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1952885949

Laretta Moniek Wiley, FNP-BC, PMHNP-BC's National Provider Identifier is 1952885949, issued on Sep 17, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Matteson, IL. The record was last updated on Oct 7, 2025.