Individual
SHELBY TAYLOR WAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8201 EWING HALSELL DR FL 2, SAN ANTONIO, TX 78229-3707
(210) 575-7400
Mailing address
8201 EWING HALSELL DR, SAN ANTONIO, TX 78229-3707
(210) 575-4837
(210) 575-8647
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP139586
TX
363LF0000X
Family Nurse Practitioner
AP139586
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
396390201
—
TX
01
—
765966
MCR PTAN
TX
Enumeration date
11/14/2018
Last updated
08/06/2019
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