Provider Demographics
NPI:1285698605
Name:GILTRAP, SIOBHAN (CNM)
Entity type:Individual
Prefix:MS
First Name:SIOBHAN
Middle Name:
Last Name:GILTRAP
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:MRS
Other - First Name:SIOBHAN
Other - Middle Name:GILTRAP
Other - Last Name:KUBESH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:1198 JONES BUTLER RD APT 505
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77840-6457
Mailing Address - Country:US
Mailing Address - Phone:512-762-5657
Mailing Address - Fax:
Practice Address - Street 1:12221 N MOPAC EXPY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-2401
Practice Address - Country:US
Practice Address - Phone:512-901-2155
Practice Address - Fax:512-901-8124
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX653787367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife