Individual provider · Type 1 NPI

Taylor Marie Heissenbuttel

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

NPI number 1700619988 Active

Practice location

1800 Gravenstein Hwy N
Sebastopol, CA 95472-2607

Call (707) 823-7300 Map

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 1700619988

Taylor Marie Heissenbuttel's National Provider Identifier is 1700619988, issued on Aug 22, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sebastopol, CA. The record was last updated on Aug 7, 2025.