Individual
AMANDA MARIE WILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 CAROLINE ST, PORT ANGELES, WA 98362-3901
(360) 565-9511
Mailing address
PO BOX 24029, SEATTLE, WA 98124-0029
(360) 565-0999
(360) 565-9512
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.RN.61057018.MSL
WA
363L00000X
Nurse Practitioner
Primary
ARNP.AP.70086839-NP
WA
Other
Enumeration date
11/03/2025
Last updated
03/31/2026
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