Individual provider · Type 1 NPI

Tina Michelle Thorne, AGNP

Adult Health Nurse Practitioner · Nampa, ID

NPI number 1063970168 Active

Practice location

512 5th Ave S
Nampa, ID 83651-4153

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X60947 (ID)
Nurse Practitioner 363L00000X60947 (ID)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1063970168

Tina Michelle Thorne, AGNP's National Provider Identifier is 1063970168, issued on Mar 7, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Nampa, ID. The record was last updated on Dec 16, 2025.