Ms. Maryann Lisak
RN, MS, PNP | Nurse Practitioner - Psych/Mental Health
128 Lakeside Ave, Suite 115, Burlington
Vermont, 05401-4939
802-860-1928
Ms. Maryann Lisak is a Burlington, Vermont based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Ms. Maryann Lisak is 101.0019912 for Psych/Mental Health in Vermont. Her current practice location is 128 Lakeside Ave, Suite 115, Burlington. Patients can reach her at 802-860-1928. Ms. Maryann Lisak is RN, MS, PNP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1790732899.
Ms. Maryann Lisak provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Ms. Maryann Lisak speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ms. Maryann Lisak |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | RN, MS, PNP |
| Practice Address: | 128 Lakeside Ave, Suite 115, Burlington,
Vermont, 05401-4939 |
| Phone: | 802-860-1928 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1790732899 |
| NPI Enumeration Date: | 27 May, 2006 |
| NPI Last Update On: | 20 Jul, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Maryann Lisak are as mentioned below.
| License Number | Specialization | State | Status | |
| 101.0019912 | Psych/Mental Health | Vermont | Primary | |
| 1010019912 | Pediatrics | Vermont | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Maryann Lisak such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 6703781 | Medicaid | Vermont | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ms. Maryann Lisak
128 Lakeside Ave, Suite 115
Burlington, Vermont |
| Zip: | 05401-4939 |
| Phone Number: | 802-860-1928 |
Patients can reach Ms. Maryann Lisak at
128 Lakeside Ave, Suite 115, Burlington, Vermont or can
call to book an appointment on 802-860-1928.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.