# MISS MARISA D. MONROE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1851550784
- **Gender:** F
- **Credential:** PAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 6825343-1206 | UT | — |
| 363A00000X | Physician Assistant | 6825343-8906 | UT | — |
| 363A00000X | Physician Assistant | MA053252 | PA | — |
| 363A00000X | Physician Assistant | PA10005327 | WA | Yes |

## Other

- **Enumeration date:** 06/05/2008
- **Last updated:** 11/08/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PA10005327 | LICENSE | WA |