Individual provider · Type 1 NPI

Noria Damanhuri

Physician Assistant · Phoenix, AZ

NPI number 1609641182 Active

Practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Fax (602) 933-2492

Mailing address

2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X11020 (AZ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1609641182

Noria Damanhuri's National Provider Identifier is 1609641182, issued on Nov 15, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 6, 2025.