NPI 1790654119
Amanda Marie Willy
Nurse Practitioner · Port Angeles, WA
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 16, 2026, 4:22 pm EDT
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Amanda Marie Willy is a health care provider (Nurse Practitioner) in Port Angeles, Washington with National Provider Identifier (NPI) 1790654119. The NPI was issued on Nov 3, 2025 and the registry record was last updated on Mar 31, 2026. The registry lists 2 licenses in Washington.
Registry record
- NPI
- 1790654119
- Type
- Individual (NPI-1)
- Primary specialty
- Nurse Practitioner 363L00000X
- Practice location
- 1021 Caroline St
Port Angeles, WA 98362-3901 - Phone
- (360) 565-9511
- NPI issued
- Nov 3, 2025
- Registry record updated
- Mar 31, 2026
- Other names
- Amanda M. Wichern (former name)
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | Washington | ARNP.AP.70086839-NP |
| Registered Nurse | 163W00000X | Washington | RN.RN.61057018.MSL |
Confirm license status and discipline with the state board (links in NPI Lookup).
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.