Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY TACKBARY
Active Sole ProprietorMARY TACKBARY is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in TRAVERSE CITY, Michigan. NPI 1588282784 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · TRAVERSE CITY, MI
Registration Details
- NPI Number
- 1588282784
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 14, 2020 (6.0569135206944 yrs)
- Last Updated
- Feb 20, 2025
- License
-
4704106451 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
928 S GARFIELD AVE STE 3ATRAVERSE CITY, MI, 496862403Browse MI providers · Browse ZIP 49686
- Phone
- 2318350115
- Fax
- 2312167641
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in TRAVERSE CITY, MI
| Name | Credential | NPI |
|---|---|---|
| TAMLYNN EVANS | APRN, BC, NP | 1336113216 |
| LINDA DANIELLE GOTTWALD | — | 1144424219 |
| SHOBA SOSALE-BERKUCHEL RYAN | DNP, PMHNP-BC | 1730539149 |
| SARAH JULIANA CHICHESTER | PMHNP | 1043768054 |
| JAKE ROBERT JONES | PMHNP-BC, FNP-C | 1578136065 |
| DR. SIMONE E KING | PMHNPCE-DNP | 1487317509 |
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.