Willie Sly, PMHNP-BC - Nurse Practitioner in Ventura, CA

Willie Sly, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Ventura, California. Willie Sly is licensed to practice in California (license number 95334289) and his current practice location is 800 S Victoria Ave # 4615, Ventura, California. He can be reached at his office (for appointments etc.) via phone at (805) 628-1633.

NPI number for Willie Sly is 1053166199 and his current mailing address is 800 S Victoria Ave # 4615, Ventura, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053166199.

Contact Information

Willie Sly, PMHNP-BC
800 S Victoria Ave # 4615,
Ventura, CA 93009-0002
(805) 628-1633
(805) 339-1128

Map and Direction




Provider's Profile

Full NameWillie Sly
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location800 S Victoria Ave # 4615, Ventura, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053166199
  • Provider Enumeration Date: 04/22/2024
  • Last Update Date: 01/26/2026

Medical Identifiers

Medical identifiers for Willie Sly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053166199NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95334289 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Willie Sly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Willie Sly, PMHNP-BC
800 S Victoria Ave # 4615,
Ventura, CA 93009-0002

Ph: (805) 628-1633
Willie Sly, PMHNP-BC
800 S Victoria Ave # 4615,
Ventura, CA 93009-0002

Ph: (805) 628-1633

Reviews and Comments


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