NPI 1861537946
This NPI was deactivated on September 24, 2026. The record is kept for reference and should not be used for billing or referrals.
NPI 1861537946 is listed in the national NPI registry.
Practice location Incomplete address
No coordinates on file. Search this address in Google Maps
Specialties & licences
Record details
| NPI number | 1861537946 |
|---|---|
| Entity type | Individual (Type 1) |
| NPI enumerated | — |
| Last updated in NPPES | — |