Boller, Tracy Michele

Boller, Tracy Michele is an individual health care provider with primary practice located at 200 Skywatch Dr , Danville KY 40422-2540. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Boller, Tracy Michele can be contacted via phone (859) 936-5630.

Contact Information

Primary practice address
200 Skywatch Dr Danville KY 40422-2540
Phone: (859) 936-5630
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 401008 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 401008 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4010008 Kentucky

Profile Details

NPI number 1316723539
LBN Legal business name Boller, Tracy Michele
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2023
Last updated Feb 20th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316723539 NPPES
Kentucky Other 4010008 KENTUCKY BOARD OF NURSING

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