Provider Demographics
NPI:1790676294
Name:BEN ATTIA, BASMA
Entity type:Individual
Prefix:
First Name:BASMA
Middle Name:
Last Name:BEN ATTIA
Suffix:
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 1:510 W 3RD ST APT C
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43040-1073
Mailing Address - Country:US
Mailing Address - Phone:614-816-9859
Mailing Address - Fax:
Practice Address - Street 1:510 W 3RD ST APT C
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43040-1073
Practice Address - Country:US
Practice Address - Phone:614-816-9859
Practice Address - Fax:614-816-9859
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-12
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker