Individual
TINA MICHELLE THORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
512 5TH AVE S, NAMPA, ID 83651-4153
(208) 250-7653
Mailing address
512 5TH AVE S, NAMPA, ID 83651-4153
(208) 250-7653
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
60947
ID
363LA2200X
Adult Health Nurse Practitioner
Primary
60947
ID
Other
Enumeration date
03/07/2019
Last updated
12/16/2025
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