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

NPI 1134353956

Individual provider · NPI 1134353956 Deactivated

This NPI was deactivated on September 29, 2026. The record is kept for reference and should not be used for billing or referrals.

NPI 1134353956 is listed in the national NPI registry.

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Record details

NPI number1134353956
Entity typeIndividual (Type 1)
NPI enumerated—
Last updated in NPPES—