Provider Demographics
NPI:1174954093
Name:KALLIMEL, BEELA BLESSAN (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:BEELA
Middle Name:BLESSAN
Last Name:KALLIMEL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6406 LOCHGLEN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-2568
Mailing Address - Country:US
Mailing Address - Phone:512-743-2164
Mailing Address - Fax:
Practice Address - Street 1:23530 WILDERNESS OAK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-2406
Practice Address - Country:US
Practice Address - Phone:210-481-7642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-02
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX742785363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily