Individual
WILLIE SLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
2448 GUERNEVILLE RD STE 800, SANTA ROSA, CA 95403-7228
(707) 772-7522
Mailing address
2448 GUERNEVILLE RD STE 800, SANTA ROSA, CA 95403-7228
(707) 772-7522
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
95334289
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5971891
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95038910
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95334289
CA
Other
Enumeration date
04/22/2024
Last updated
05/05/2026
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