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

Irene Martin

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1417634486

Irene Martin is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2024, 2 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2023
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Practice location Address checks out

9015 N 3rd St
Phoenix, AZ 85020-2444
Phone: (480) 882-4545
Fax: (602) 714-3755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4824 E Baseline Rd Ste 124, Mesa, AZ 85206-4679 — (602) 388-1530

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 294424 (AZ)

Record details

NPI number1417634486
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 30, 2023
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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