Holley, Tracy Lynn

Holley, Tracy Lynn is an individual health care provider with primary practice located at 9844 S 1300 E Ste 100 , Sandy UT 84094-4600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Holley, Tracy Lynn can be contacted via phone (801) 571-9433.

Contact Information

Primary practice address
9844 S 1300 E Ste 100 Sandy UT 84094-4600
Fax: (801) 572-5607
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 343176-1206 Utah

Profile Details

NPI number 1801194097
LBN Legal business name Holley, Tracy Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2011
Last updated Aug 27th, 2015 - about 9 years ago

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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