DR. MARIAM BASSALIOUS DNP FNP-BC NPI 1366102378

NPI Information

  • NPI: 1366102378
  • Provider Name: DR. MARIAM BASSALIOUS, DNP, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9021 JOSEPH CAMPAU ST
    HAMTRAMCK, MI
    ZIP 48212
  • Phone: (313) 871-1927

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NPI Details

DR. Mariam Bassalious, DNP, FNP-BC is a family nurse practitioner in Hamtramck, MI. DR. Mariam Bassalious, DNP, FNP-BC NPI is 1366102378. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9021 JOSEPH CAMPAU ST
HAMTRAMCK, MI
ZIP 48212-726
Phone: (313) 871-1927

The NPI 1366102378 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/19/2021 and was last updated on 1/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily4704344060MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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