Provider Demographics
NPI:1437759677
Name:HOLZMAN, TRACY (NP-C)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:
Last Name:HOLZMAN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9758 SANVITALIA ST
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1583
Mailing Address - Country:US
Mailing Address - Phone:202-844-2655
Mailing Address - Fax:
Practice Address - Street 1:2440 M ST NW STE 810
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1475
Practice Address - Country:US
Practice Address - Phone:202-844-2655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR232035363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health