Provider Demographics
NPI:1760345805
Name:FAINU, LUISA P
Entity type:Individual
Prefix:
First Name:LUISA
Middle Name:P
Last Name:FAINU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6144 E MINTON PL
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85215-1516
Mailing Address - Country:US
Mailing Address - Phone:480-453-4619
Mailing Address - Fax:
Practice Address - Street 1:3056 E KRAMER ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213-3110
Practice Address - Country:US
Practice Address - Phone:480-453-4619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-05
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3747P1801X, 251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care