MEDICARE: HOLLY ANN WESTBROOK

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	367A00000X	Advanced Practice Midwife	AP132764	TX

General Provider Information

NPI Number	:	1891211520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY ANN WESTBROOK

Provider Business Mailing Address
First Line	:	2718 PEPPERMILL RUN ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78231-1932
Country	:	US
Telephone Number	:	830-556-8071
Fax Number	:	830-323-0178

Provider Business Practice Location Address
First Line	:	2718 PEPPERMILL RUN ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78231-1932
Country	:	US
Telephone Number	:	830-556-8071
Fax Number	:	830-323-0178

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

Provider Enumeration Date	:	08/15/2017
Last Update Date	:	05/08/2022

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Directions to “ HOLLY ANN WESTBROOK ” Practice Location

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