Individual provider · Type 1 NPI

Karissa Bustamante Coates, PA

Physician Assistant · Glendale, AZ

NPI number 1649012386 Active

Practice location

11851 N 51st Ave Ste B110
Glendale, AZ 85304-2823

Call (480) 882-4545 Map

Fax (623) 207-7410

Mailing address

7500 N Dreamy Draw Dr Ste 145
Phoenix, AZ 85020-4668

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1649012386

Karissa Bustamante Coates, PA's National Provider Identifier is 1649012386, issued on Jun 12, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Glendale, AZ. The record was last updated on Jun 23, 2025.