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

Individual provider Medical Physician Assistant · NPI 1093570392

Chrismene Louis, PA is a Physician Assistant in Phoenix, Arizona. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Arizona and Puerto Rico.

Years since qualifying
3
Licensed in
AZ, PR
In the registry since
2024
Specialties on file
2
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

14020 N Black Canyon Hwy
Phoenix, AZ 85053-5800
Phone: (347) 278-0678
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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 1351 (PR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 9872 (AZ)

Record details

NPI number1093570392
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 15, 2024
Last updated in NPPESFebruary 24, 2024
Certification dateFebruary 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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