IndividualActive
Tina Thorne, AGNP
NPI 1063970168 · Adult Health Nurse Practitioner · Nampa, ID
Provider details
- NPI number
- 1063970168
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP
- Sex
- Female
- Sole proprietor
- No
- License
- 60947 (ID)
Mailing address
512 5th Ave S
Nampa, ID 83651-4153
Registry dates
- Enumerated
- 2019-03-07
- Last updated
- 2025-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.