Healthcare Provider Details

I. General information

NPI: 1124931423
Provider Name (Legal Business Name): TRACY ANN WEEBER DNP, CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1531 ESPLANADE
CHICO CA
95926-3310
US

IV. Provider business mailing address

3 MARLIN CT
CHICO CA
95973-9185
US

V. Phone/Fax

Practice location:
  • Phone: 530-332-7260
  • Fax:
Mailing address:
  • Phone: 530-518-1519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number1485
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: