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

NPI 1386886463

Individual provider · NPI 1386886463 Deactivated

This NPI was deactivated on October 15, 2026. The record is kept for reference and should not be used for billing or referrals.

NPI 1386886463 is listed in the national NPI registry.

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Record details

NPI number1386886463
Entity typeIndividual (Type 1)
NPI enumerated—
Last updated in NPPES—