Marisa J Putrasahan, PA-C
Marisa J Putrasahan, PA-C is a Physician Assistant in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2026.
- Licensed in
- AZ
- In the registry since
- 2026
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1919 E Thomas RdPhoenix, AZ 85016-7710
Phone: (602) 933-2728
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 11905 (AZ) |
|---|
Record details
| NPI number | 1669303780 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | May 27, 2026 |
| Last updated in NPPES | July 30, 2026 |
| Certification date | July 30, 2026 |
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