National Provider Identifier Database

MARYBETH THORN, PA-C – NPI #1730253063
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

MARYBETH THORN, PA-C
5904 HOLLY AVE NE
ALBUQUERQUE, NM87113-2472
Phone: 505-298-2505
Fax: 505-298-2985
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X
Medical 363AM0700X

* Indicates primary specialty

NPI Profile & details for MARYBETH THORN

NPI Number 1730253063
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/20/2006
Last updated 04/07/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • CO License #: 244
  • NC License #: 102676
  • NM License #: 86-PA052
  • CO Medicaid: 91407770
  • CO Other: PA244 COLORADO LICENSE
  • NC Other: 102676 NC LICENSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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