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Tammy Renee Heredia, RN
School Registered Nurse in Sierra Vista, Arizona
NPI 1629741012

Tammy Renee Heredia is a School Registered Nurse based in Sierra Vista, AZ and is specialized in School. Tammy Renee Heredia practices in Sierra Vista, AZ and has the professional credentials of RN. The NPI Number for Tammy Renee Heredia is 1629741012 and holds a License No. 257842 (Arizona).

The current practice location address for Tammy Renee Heredia is 905 El Camino Real, Sierra Vista, AZ and can be reached out via phone at 520-515-2996.

Location: 905 El Camino Real, Sierra Vista, AZ, 85635-5456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629741012
Provider Name
Tammy Renee Heredia
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
905 El Camino Real, Sierra Vista, AZ, 85635-5456
Phone Number
520-515-2996
Fax Number
Provider Enumeration Date
07/30/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
163WS0200X 05 AZ
institution
Provider Business Practice Location Address Details
Address
905 El Camino Real
City
Sierra Vista
State
Arizona
Zip
85635-5456
Phone Number
520-515-2996
Fax Number
person
Provider Business Mailing Address Details
Address
905 El Camino Real
City
Sierra Vista
State
Arizona
Zip
85635-5456
Phone Number
520-515-2996
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
School
Taxonomy
163WS0200X
License No.
257842 (Arizona)
Definition
Definition to come...
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