Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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NPI 1992077283

Individual provider · NPI 1992077283 Deactivated

This NPI was deactivated on October 1, 2026. The record is kept for reference and should not be used for billing or referrals.

NPI 1992077283 is listed in the national NPI registry.

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Record details

NPI number1992077283
Entity typeIndividual (Type 1)
NPI enumerated—
Last updated in NPPES—