Laretta M. Wiley, FNP-BC, PMHNP-BC
Family NP · Matteson, IL
UnclaimedFNP-BC, PMHNP-BCNPI 1952885949
- Primary taxonomy
- 363LF0000X
- Enumerated
- 2018-09-17
- Practice location
- Matteson, IL
- Last NPPES update
- 2025-10-07
State licenses
- IL · Nurse practitioner · ADVANCED PRACTICE REGISTERED NURSEInactivethrough 2026
- IL · Nurse practitioner · FULL PRACTICE AUTHORITY APRNActivethrough 2028
- IL · Registered nurse · REGISTERED PROFESSIONAL NURSEActivethrough 2028
- IL · Practical nurse · LICENSED PRACTICAL NURSEExpiredthrough 2011
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.