Individual provider · Type 1 NPI

Marisa Louise Shaker, PA

Medical Physician Assistant · Waterbury, CT

NPI number 1659306314 Active

Practice location

56 Franklin St
Waterbury, CT 06706-1221

Call (203) 709-3538 Map

Fax (203) 709-7258

Mailing address

PO Box 1090
Windsor, CT 06095-6190

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X001133 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1659306314

Marisa Louise Shaker, PA's National Provider Identifier is 1659306314, issued on Jul 11, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Waterbury, CT. The record was last updated on Sep 23, 2022.