MEDICARE: DR. HOLLY ANN DILEO PHD, RN, 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	AP109184	TX
2	363LF0000X	Family Nurse Practitioner	AP109184	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821023318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOLLY ANN DILEO PHD, RN, FNP-BC

Provider Business Mailing Address
First Line	:	2547 E COMMERCE ST STE 300
Second Line	:	UIW NURSING CARDINAL WELLNESS CENTER
City	:	SAN ANTONIO
State	:	TX
Zip	:	78203-1907
Country	:	US
Telephone Number	:	210-283-6331
Fax Number	:

Provider Business Practice Location Address
First Line	:	2547 E COMMERCE ST STE 300
Second Line	:	UIW NURSING CARDINAL WELLNESS CENTER
City	:	SAN ANTONIO
State	:	TX
Zip	:	78203-1907
Country	:	US
Telephone Number	:	210-283-6331
Fax Number	:

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

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	10/31/2025

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