Healthcare Provider Details

I. General information

NPI: 1972433191
Provider Name (Legal Business Name): OLIVIA NOEL WHEELER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31735 1ST ST
ACTON CA
93510-1900
US

IV. Provider business mailing address

31735 1ST ST
ACTON CA
93510-1900
US

V. Phone/Fax

Practice location:
  • Phone: 661-717-2677
  • Fax:
Mailing address:
  • Phone: 661-717-2677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: