Provider Demographics
NPI:1962002741
Name:OHLWILER, HAYLEY MICHELLE (MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:MICHELLE
Last Name:OHLWILER
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:HAYLEY
Other - Middle Name:
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:10 WAVERLY PL
Mailing Address - Street 2:
Mailing Address - City:LADERA RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92694-0220
Mailing Address - Country:US
Mailing Address - Phone:801-380-0672
Mailing Address - Fax:
Practice Address - Street 1:10 WAVERLY PL
Practice Address - Street 2:
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694-0220
Practice Address - Country:US
Practice Address - Phone:801-380-0672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95126230163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty