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ELIZABETH ADRIENNE WILLIS RN, MS, PMHNP-BC
NPI 1104536549
Nurse Practitioner - Psychiatric/Mental Health in Cloverdale, CA

Active since November 28, 2022
6 TARMAN DR, CLOVERDALE, CA 95425(707) 894-4229 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth Adrienne Willis Rn, Ms, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH ADRIENNE WILLIS RN, MS, PMHNP-BC (NPI 1104536549) is an individual psychiatric/mental health provider in Cloverdale, California, licensed in California (95017303) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1104536549
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameELIZABETH ADRIENNE WILLISCredential: RN, MS, PMHNP-BC
Location Address6 TARMAN DRCloverdale, CA 95425-3932
Mailing AddressPo Box 253Sebastopol, CA 95473-0253 · (707) 921-9393
Phone(707) 894-4229
Sole ProprietorYes
Enumeration DateNovember 28, 2022
NPPES CertifiedNovember 27, 2022
✔ NPI 1104536549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95017303
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 793320 (CA)
6 TARMAN DR, Cloverdale, CA 95425
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COPPERTOWER FAMILY MEDICAL CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
6 TARMAN DR
CLOVERDALE, CA 95425
Sonoma County (707) 894-4229
LEA DARYA QUEEN PSY.D
Psychologist (Clinical)
6 TARMAN DR
CLOVERDALE, CA 95425
Sonoma County (707) 894-4229
ALEXANDER VALLEY HEALTHCARE
Clinic/Center (Federally Qualified Health Center (FQHC))
6 TARMAN DR
CLOVERDALE, CA 95425
Sonoma County (707) 894-4229
NIRANJANA PARTHASARATHI MD
Internal Medicine
6 TARMAN DR
CLOVERDALE, CA 95425
Sonoma County (707) 894-4229
MS. MARYA E GROSSE FNP
Nurse Practitioner (Family)
6 TARMAN DR
CLOVERDALE, CA 95425
Sonoma County (707) 894-4229
KENDALL GALVEZ FNP
Clinic/Center
6 TARMAN DR
CLOVERDALE, CA 95425
Sonoma County (707) 894-4229
DENNIS ALLEN MINAS FITO MD
Family Medicine
6 TARMAN DR
CLOVERDALE, CA 95425
Sonoma County (707) 894-4229
CHEYENNE MICHELLE MATYAC
Nurse Practitioner
6 TARMAN DR
CLOVERDALE, CA 95425
Sonoma County (707) 894-4229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Willis's NPI number?

The NPI number for Elizabeth Willis is 1104536549. It was assigned to this individual provider in the NPPES registry on November 28, 2022.

Where is Elizabeth Willis located?

Elizabeth Willis practices at 6 Tarman Dr, Cloverdale, CA 95425. The listed phone number is (707) 894-4229.

What is Elizabeth Willis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Elizabeth Willis was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.