MEDICARE: MS. TAYLOR SIOBHAN STEWART FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	AP130893	TX
2	363LF0000X	Family Nurse Practitioner	AP130893	TX

General Provider Information

NPI Number	:	1952754814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TAYLOR SIOBHAN STEWART FNP-BC

Provider Business Mailing Address
First Line	:	13215 LOMA VALLEJO
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78233-2418
Country	:	US
Telephone Number	:	210-854-5473
Fax Number	:

Provider Business Practice Location Address
First Line	:	8200 PERRIN BEITEL RD
Second Line	:	SUITE 100
City	:	SAN ANTONIO
State	:	TX
Zip	:	78218-1547
Country	:	US
Telephone Number	:	210-967-1855
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2016
Last Update Date	:	12/02/2024

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