Individual provider · Type 1 NPI
Maryann Lisak, RN, MS, PNP
Psychiatric/Mental Health Nurse Practitioner · Burlington, VT
NPI number
1790732899
Active
Practice location
128 Lakeside Ave, Suite 115
Burlington, VT 05401-4939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 101.0019912 (VT) |
| Pediatric Nurse Practitioner | 363LP0200X | 1010019912 (VT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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- Kayleigh Martincic, FNP-CFamily Nurse Practitioner Burlington, VT NPI 1023735677
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- Joshua Tzvi Schupp-Star, PA-CPsychiatric/Mental Health Nurse Practitioner Burlington, VT NPI 1376128447
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About NPI 1790732899
Maryann Lisak, RN, MS, PNP's National Provider Identifier is 1790732899, issued on May 27, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Burlington, VT. The record was last updated on Jul 20, 2021.