Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Caitlyn Heredia

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013567023

Caitlyn Heredia is a Student in an Organized Health Care Education/Training Program in Glendale, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2019
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Practice location Address checks out

18330 N 79th Ave Apt 1070
Glendale, AZ 85308
Phone: (951) 235-1187
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (AZ)

Record details

NPI number1013567023
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 12, 2019
Last updated in NPPESSeptember 12, 2019
Mailing address18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308

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