Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marisa Louise Shaker, PA

Individual provider Medical Physician Assistant · NPI 1659306314

Marisa Louise Shaker, PA is a Medical Physician Assistant in Waterbury, Connecticut. Licensed in Connecticut. Registered with an NPI since 2006.

Licensed in
CT
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

56 Franklin St
Waterbury, CT 06706-1221
Phone: (203) 709-3538
Fax: (203) 709-7258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 001133 (CT)

Record details

NPI number1659306314
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESSeptember 23, 2022
Certification dateSeptember 23, 2022

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