Provider Demographics
NPI:1548817919
Name:CHALUPARAMBIL, ANSELA (FNP)
Entity type:Individual
Prefix:MRS
First Name:ANSELA
Middle Name:
Last Name:CHALUPARAMBIL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3326 WATTERS RD BLDG D
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-2053
Mailing Address - Country:US
Mailing Address - Phone:832-386-9200
Mailing Address - Fax:832-386-9203
Practice Address - Street 1:3326 WATTERS RD BLDG D
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-2053
Practice Address - Country:US
Practice Address - Phone:832-386-9200
Practice Address - Fax:832-386-9203
Is Sole Proprietor?:No
Enumeration Date:2019-08-21
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141273363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily