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

Tracie Maria Smith

Individual provider Emergency Registered Nurse · NPI 1063240356

Tracie Maria Smith is an Emergency Registered Nurse in San Leandro, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1040 Davis St Ste 202
San Leandro, CA 94577-1519
Phone: (510) 777-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95028805 (CA)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 702324 (CA)

Record details

NPI number1063240356
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 26, 2024
Last updated in NPPESJuly 26, 2024
Certification dateJuly 19, 2024
Mailing address1040 Davis St Ste 202, San Leandro, CA 94577-1519

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