MEDICARE: IRENE ARCENAS BIRD NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	AP5185	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144621913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRENE ARCENAS BIRD NP-C

Provider Business Mailing Address
First Line	:	4651 CHARLOTTE PARK DR STE 300
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-1916
Country	:	US
Telephone Number	:	704-936-5546
Fax Number	:	833-973-5072

Provider Business Practice Location Address
First Line	:	3109 N 24TH ST STE 101
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-7328
Country	:	US
Telephone Number	:	602-839-3900
Fax Number	:	833-973-5072

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2014
Last Update Date	:	11/06/2025

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