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

NPI 1609285022

Individual provider · NPI 1609285022 Deactivated

This NPI was deactivated on November 6, 2026. The record is kept for reference and should not be used for billing or referrals.

NPI 1609285022 is listed in the national NPI registry.

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Record details

NPI number1609285022
Entity typeIndividual (Type 1)
NPI enumerated—
Last updated in NPPES—