Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

NPI 1881779429

Individual provider · NPI 1881779429 Deactivated

This NPI was deactivated on September 3, 2026. The record is kept for reference and should not be used for billing or referrals.

NPI 1881779429 is listed in the national NPI registry.

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Record details

NPI number1881779429
Entity typeIndividual (Type 1)
NPI enumerated—
Last updated in NPPES—