DIANNE J WILLER SLY FNP
NPI 1639143019
Nurse Practitioner in Bloomington, MN

Active since February 14, 2006
8170 33RD AVE S, MC21110Q, BLOOMINGTON, MN 55425(952) 883-6805(952) 883-6117 Get Directions Write a Review

NPPES record last updated: November 17, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dianne J Willer Sly Fnp NPPES

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

DIANNE J WILLER SLY FNP (NPI 1639143019) is an individual nurse practitioner in Bloomington, Minnesota, licensed in Minnesota (1052099) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1639143019
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDIANNE J WILLER SLYCredential: FNP
Location Address8170 33RD AVE S, MC21110QBloomington, MN 55425-4516
Mailing Address8170 33rd Ave S, Mc21110qBloomington, MN 55425-4516 · (952) 883-6805 · Fax (952) 883-6117
Fax(952) 883-6117
Sole ProprietorNo
Enumeration DateFebruary 14, 2006
Last NPPES UpdateNovember 17, 2008
✔ NPI 1639143019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · 1052099
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
8170 33RD AVE S, Bloomington, MN 55425

Other Identifiers 3

Medicare UPINR59503
Medicaid889697600MN
Medicare ID-Type Unspecified500001390

Other Providers at the Same Location NPPES 20

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

Clinic/Center (Multi-Specialty)
8170 33RD AVE S, MS 21110Q
MINNEAPOLIS, MN 55425
Student in an Organized Health Care Education/Training Program
8170 33RD AVE S
BLOOMINGTON, MN 55425
Internal Medicine
8170 33RD AVE S, MC21110Q
BLOOMINGTON, MN 55425
Nurse Practitioner
8170 33RD AVE S
BLOOMINGTON, MN 55425
Student in an Organized Health Care Education/Training Program
8170 33RD AVE S
BLOOMINGTON, MN 55425
Pharmacist
8170 33RD AVE S
BLOOMINGTON, MN 55425
Pharmacist
8170 33RD AVE S
BLOOMINGTON, MN 55425
Non-Pharmacy Dispensing Site
8170 33RD AVE S, MAILSTOP 21111B
MINNEAPOLIS, MN 55425

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 Dianne Willer Sly's NPI number?

The NPI number for Dianne Willer Sly is 1639143019. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Dianne Willer Sly located?

Dianne Willer Sly practices at 8170 33rd Ave S Mc21110q, Bloomington, MN 55425. The listed phone number is (952) 883-6805.

What is Dianne Willer Sly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Dianne Willer Sly was last updated on November 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.