Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Marie Willy

Individual provider Nurse Practitioner · NPI 1790654119

Amanda Marie Willy is a Nurse Practitioner in Port Angeles, Washington. Qualified in 2025, 1 year ago. Licensed in Washington.

Years since qualifying
1
Licensed in
WA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1021 Caroline St
Port Angeles, WA 98362-3901
Phone: (360) 565-9511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence ARNP.AP.70086839-NP (WA)
Registered Nurse Taxonomy 163W00000X · Licence RN.RN.61057018.MSL (WA)

Record details

NPI number1790654119
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 3, 2025
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing addressPo Box 24029, Seattle, WA 98124-0029

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Port Angeles