National Provider Identifier Database

MARIAM BASSALIOUS, DNP, FNP-BC – NPI #1366102378
Family


Contact Information

MARIAM BASSALIOUS, DNP, FNP-BC
9021 JOSEPH CAMPAU ST
HAMTRAMCK, MI48212-3726
Phone: 313-871-1927
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for MARIAM BASSALIOUS

NPI Number 1366102378
Credentials DNP, FNP-BC
Entity Individual
Enumeration date 12/19/2021
Last updated 07/11/2025 - About 11 months ago
Sole proprietor1 No
Identifiers
  • MI License #: 4704344060
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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