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

Audra Corona Ibarra

Individual provider Family Nurse Practitioner · NPI 1700432622

Audra Corona Ibarra is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2019, 7 years ago. Practices with Khakwani and Mohammad Medical PC, a 13-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2019
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Practice location Address checks out

3540 E Baseline Rd Ste 130
Phoenix, AZ 85042-9629
Phone: (623) 251-7559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4102 S Kirby St, Gilbert, AZ 85297-3064 — (480) 203-6456
  • 3540 E Baseline Rd Ste 130, Phoenix, AZ 85042-9629 — (623) 251-7559

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 228643 (AZ)

Record details

NPI number1700432622
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 15, 2019
Last updated in NPPESJanuary 6, 2020
Certification dateJanuary 6, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Khakwani And Mohammad Medical Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Phoenix