Individual provider · Type 1 NPI
Tracie Maria Smith
Family Nurse Practitioner · San Leandro, CA
NPI number
1063240356
Active
Practice location
1040 Davis St Ste 202
San Leandro, CA 94577-1519
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 702324 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 95028805 (CA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1063240356
Tracie Maria Smith's National Provider Identifier is 1063240356, issued on Jul 26, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Leandro, CA. The record was last updated on Jul 26, 2024.