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

NPI 1093659443

Individual provider · NPI 1093659443 Deactivated

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

NPI 1093659443 is listed in the national NPI registry.

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Record details

NPI number1093659443
Entity typeIndividual (Type 1)
NPI enumerated—
Last updated in NPPES—