Healthcare Provider Details

I. General information

NPI: 1306700356
Provider Name (Legal Business Name): ATHENA WEILAND DOULA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 MAR VISTA DR SPC 77
APTOS CA
95003-3703
US

IV. Provider business mailing address

455 MARKET ST STE 1940
SAN FRANCISCO CA
94105-2448
US

V. Phone/Fax

Practice location:
  • Phone: 408-340-8278
  • Fax:
Mailing address:
  • Phone: 408-340-8278
  • 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: