Individual provider · NPI-1
Tracie Citron, MS, APRN, AGAC-NP
Nurse Practitioner, Acute Care · San Francisco, CA
NPI number1639508310
StatusActive
Last updated in NPPESJul 25, 2025
Details
- NPI
- 1639508310
- Entity type
- Individual (NPI-1)
- Name
- Tracie Citron
- Credential
- MS, APRN, AGAC-NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2013
- Certification date
- Jul 25, 2025
- Last updated
- Jul 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 95016720 | CA | Yes |
| 163W00000X | Registered Nurse | 752556 | CA | |
| 364S00000X | Clinical Nurse Specialist | 4044 | CA |
Practice location
505 Parnassus AveSan Francisco, CA 94143-2204
Phone 650-245-4928
Mailing address
4150 Clement StSan Francisco, CA 94121
Other practice locations
4150 Clement St
San Francisco, CA 94121
San Francisco, CA 94121
Phone 415-221-4810
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