Individual
TRACY RYAN HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
200 E CHESTNUT ST STE 303, LOUISVILLE, KY 40202-1831
(502) 629-5552
(502) 629-3132
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007211
KY
Other
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
Enumeration date
12/22/2011
Last updated
05/09/2023
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