Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MRS. TRACY MICHELE BOLLER
Active
Individual
MRS. TRACY MICHELE BOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
401008
KY
363LF0000X
Family Nurse Practitioner
Primary
4010008
KY
363LP2300X
Primary Care Nurse Practitioner
401008
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4010008
KENTUCKY BOARD OF NURSING
KY
Enumeration date
09/04/2023
Last updated
04/14/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up