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

NPI 1487680260

Individual provider · NPI 1487680260 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 1487680260 is listed in the national NPI registry.

Practice location Incomplete address

The federal record is missing the street or ZIP for this provider.

Specialties & licences

Record details

NPI number1487680260
Entity typeIndividual (Type 1)
NPI enumerated—
Last updated in NPPES—