Healthcare Provider Details

I. General information

NPI: 1225462724
Provider Name (Legal Business Name): MRS. DAPHNE A LOUISSAINT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAPHNE CHERY RN

II. Dates (important events)

Enumeration Date: 09/03/2013
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 1193
GLOBE AZ
85502-1193
US

IV. Provider business mailing address

6197 S RURAL RD
TEMPE AZ
85283-2909
US

V. Phone/Fax

Practice location:
  • Phone: 800-402-0881
  • Fax:
Mailing address:
  • Phone: 480-471-8980
  • Fax: 480-912-1061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2287190
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN185114
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number2025046028
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number2287190
License Number StateMA
# 5
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberCRNA1035
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: