Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

NPI 1376359224

Individual provider · NPI 1376359224 Deactivated

This NPI was deactivated on September 16, 2026. The record is kept for reference and should not be used for billing or referrals.

NPI 1376359224 is listed in the national NPI registry.

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Record details

NPI number1376359224
Entity typeIndividual (Type 1)
NPI enumerated—
Last updated in NPPES—