Provider Demographics
NPI:1730905829
Name:ATTIA, NANCY IBRAHIM I
Entity type:Individual
Prefix:MISS
First Name:NANCY
Middle Name:IBRAHIM
Last Name:ATTIA
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11913 WALDEN PARK PL
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-9250
Mailing Address - Country:US
Mailing Address - Phone:661-331-6578
Mailing Address - Fax:
Practice Address - Street 1:11913 WALDEN PARK PL
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-9250
Practice Address - Country:US
Practice Address - Phone:661-331-6578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-23
Last Update Date:2024-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist