Individual provider · Type 1 NPI

Tiffany Heckendorn, MD

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

NPI number 1689103392 Active

Practice location

2516 Stockton Blvd
Sacramento, CA 95817-2208

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 1689103392

Tiffany Heckendorn, MD's National Provider Identifier is 1689103392, issued on Jun 6, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Jan 14, 2022.