Individual
MR. BENITHO LOUISSAINT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6197 S RURAL RD, TEMPE, AZ 85283-2909
(480) 471-8980
(480) 912-1061
Mailing address
6197 S RURAL RD, TEMPE, AZ 85283-2909
(480) 471-8980
(480) 912-1061
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP10399
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP10399
AZ
Other
Enumeration date
07/23/2017
Last updated
10/29/2023
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