Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Laretta Moniek Wiley, FNP-BC, PMHNP-BC

Individual provider Family Nurse Practitioner · NPI 1952885949

Laretta Moniek Wiley, FNP-BC, PMHNP-BC is a Family Nurse Practitioner in Matteson, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

21224 Gray Hawk Dr
Matteson, IL 60443-3314
Phone: (773) 814-3885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 277003478 (IL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 277003478 (IL)

Record details

NPI number1952885949
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC , PMHNP-BC
Sole proprietorNo
NPI enumeratedSeptember 17, 2018
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

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