Individual provider · Type 1 NPI

Tracey Lorraine Heggum

Student in an Organized Health Care Education/Training Program · Santa Cruz, CA

NPI number 1447473236 Active

Practice location

1400 Emeline Ave Fl 2
Santa Cruz, CA 95060-1976

Call (831) 454-4170 Map

Mailing address

PO Box 1320
Santa Cruz, CA 95061-1320

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1447473236

Tracey Lorraine Heggum's National Provider Identifier is 1447473236, issued on Apr 10, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Cruz, CA. The record was last updated on Aug 27, 2026.