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WANDA F. WILLIS
NPI 1174770457
Nurse Practitioner - Psychiatric/Mental Health in Sacramento, CA

Active since August 19, 2008
1400 N A ST, SACRAMENTO, CA 95811(916) 440-1500 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wanda F. Willis NPPES

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

WANDA F. WILLIS (NPI 1174770457) is an individual psychiatric/mental health provider in Sacramento, California, licensed in California (16993) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1174770457
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameWANDA F. WILLIS
Location Address1400 N A STSacramento, CA 95811-0612
Mailing Address1400 N A StSacramento, CA 95811-0612 · (916) 440-1500
Phone(916) 440-1500
Sole ProprietorNo
Enumeration DateAugust 19, 2008
✔ NPI 1174770457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 16993
1400 N A ST, Sacramento, CA 95811
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Other Providers at the Same Location NPPES 3

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

PATRICIA L GONZALEZ BASW
Counselor
1400 N A ST
SACRAMENTO, CA 95811
Sacramento County (916) 440-1500
LEAH BARROS
Student in an Organized Health Care Education/Training Program
1400 N A ST, BUILDING A
SACRAMENTO, CA 95811
Sacramento County (916) 440-1500
MR. TYLER WILLIAM PEHLKE
Student in an Organized Health Care Education/Training Program
1400 N A ST, BUILDING A
SACRAMENTO, CA 95811
Sacramento County (916) 440-1500

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 Wanda Willis's NPI number?

The NPI number for Wanda Willis is 1174770457. It was assigned to this individual provider in the NPPES registry on August 19, 2008.

Where is Wanda Willis located?

Wanda Willis practices at 1400 N A St, Sacramento, CA 95811. The listed phone number is (916) 440-1500.

What is Wanda 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 Wanda Willis was last updated on August 19, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.