# TRACY RYAN HOLT

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1730458530
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3007211 | KY | Yes |

## Other

- **Enumeration date:** 12/22/2011
- **Last updated:** 05/09/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000749568 | ANTHEM - NIS | KY |
| 01 | — | 13274 | SIHO - NICS | KY |
| 05 | — | 201062930 | — | IN |
| 01 | — | 50038648 | PASSPORT - NIS | KY |
| 05 | — | 7100199570 | — | KY |