Mary Tackbary
Mary Tackbary is a Certified Clinical Nurse Specialist (Cns) in Traverse City, Michigan. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Michigan.
- Years since qualifying
- 4
- Licensed in
- MI
- In the registry since
- 2020
Practice location Address checks out
928 S Garfield Ave Ste 3ATraverse City, MI 49686-2403
Phone: (231) 835-0115
Fax: (231) 216-7641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 4704106451 (MI) |
|---|
Record details
| NPI number | 1588282784 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 14, 2020 |
| Last updated in NPPES | February 20, 2025 |
| Certification date | February 20, 2025 |
| Mailing address | 3932 W Briar Hill Dr, Maple City, MI 49664-9521 |
Medicare enrollment
| Medicare specialty | CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Traverse City
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Neh PC
928 S Garfield Ave Ste 3A, Traverse City, MI 49686-2403 · (231) 835-0115
-
Laura Elizabeth Pond, DNP, PMHNP-BC
4230 Copper Ridge Dr, Traverse City, MI 49684-7256 · (231) 935-6382
-
Kelly Ryan, PMHNP-BC, APRN-CNP
3155 Logan Valley Rd, Traverse City, MI 49684-4772 · (402) 677-9083
-
Shoba Sosale-Berkuchel Ryan, DNP, PMHNP-BC
1105 Sixth St, Traverse City, MI 49684-2345 · (231) 935-5000