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

NPI 1023956661

Individual provider · NPI 1023956661 Deactivated

This NPI was deactivated on September 24, 2026. The record is kept for reference and should not be used for billing or referrals.

NPI 1023956661 is listed in the national NPI registry.

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Record details

NPI number1023956661
Entity typeIndividual (Type 1)
NPI enumerated—
Last updated in NPPES—