Provider Demographics
NPI:1225462724
Name:LOUISSAINT, DAPHNE A
Entity type:Individual
Prefix:MRS
First Name:DAPHNE
Middle Name:A
Last Name:LOUISSAINT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DAPHNE
Other - Middle Name:
Other - Last Name:CHERY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:6197 S RURAL RD
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-2909
Mailing Address - Country:US
Mailing Address - Phone:480-471-8980
Mailing Address - Fax:480-912-1061
Practice Address - Street 1:PO BOX 1193
Practice Address - Street 2:
Practice Address - City:GLOBE
Practice Address - State:AZ
Practice Address - Zip Code:85502-1193
Practice Address - Country:US
Practice Address - Phone:800-402-0881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-03
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2287190163W00000X, 367500000X
AZRN185114163W00000X
AZ2025046028364SP0808X
AZCRNA1035367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ169582Medicare PIN