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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRACY BOSANKO, PMHNP

Active Sole Proprietor

TRACY BOSANKO, PMHNP is a Substance Abuse Psychiatric Nurse healthcare provider located in LIVONIA, Michigan. NPI 1184445264 is currently active in the NPPES registry. Verify at CMS.

Substance Abuse Psychiatric Nurse · LIVONIA, MI

Registration Details

NPI Number
1184445264
Provider Type
Individual
Gender
Female
NPI Issued
Oct 21, 2024 (1.7743920698351 yrs)
Last Updated
Jun 6, 2025
License
4704329968 (MI)
Sole Proprietor
Yes

Practice Information

Address
17177 N LAUREL PARK DR STE 131
LIVONIA, MI, 481523952
Browse MI providers · Browse ZIP 48152
Phone
7344623210
Fax
7344621024
Primary Specialty
Substance Abuse Psychiatric Nurse
163WP0809X

Other Substance Abuse Psychiatric Nurse Providers in LIVONIA, MI

Name Credential NPI
LORI SIRLS 1265807085
MS. TERRY BARNES RN 1790130979
WILFREDO FIGUEROA-BERRIOS 1093360646
ROBERT THOMAS MARSHALL 1114520483
LUCIUS BARNETT 1174291694
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.