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MARYBETH THORN PA-C
NPI 1730253063
Physician Assistant in Albuquerque, NM

Active since November 20, 2006
5904 HOLLY AVE NE, ALBUQUERQUE, NM 87113(505) 298-2505(505) 298-2985 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 7, 2021, Sep 21, 2016, Feb 23, 2016 (3 updates tracked since 2016).

About Marybeth Thorn Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYBETH THORN PA-C (NPI 1730253063) is an individual physician assistant in Albuquerque, New Mexico, licensed in New Mexico (86-PA052) and active in the NPI registry since November 2006. She maintains a secondary practice location in Greeley.

NPPES Registry Identity

NPI1730253063
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARYBETH THORNCredential: PA-C
Location Address5904 HOLLY AVE NEAlbuquerque, NM 87113-2472
Mailing Address5904 Holly Ave NeAlbuquerque, NM 87113-2472 · (505) 298-2505 · Fax (505) 298-2505
Phone(505) 298-2505
Fax(505) 298-2985
Sole ProprietorNo
Enumeration DateNovember 20, 2006
Last NPPES UpdateApril 7, 20213 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
✔ NPI 1730253063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NM · 86-PA052✔ Licensed in CO · 244
Definition
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 102676 (NC)
5904 HOLLY AVE NE, Albuquerque, NM 87113
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Secondary Practice Location 1

Location 1100 N 11th AveGreeley, CO 80631-2011 · Phone (970) 352-8898 · Fax (970) 351-7075

Other Identifiers 3

Medicaid91407770CO
Other102676NC · Nc License
OtherPA244CO · Colorado License

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA ROSE ARAGON PA-C
Physician Assistant
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 298-2505
JENNIFER MACK
Nurse Practitioner (Pediatrics)
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 298-2505
DR. WILLIAM B HAWK M.D.
Pediatrics
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 298-2505
MARIA HAMILTON M.D.
Pediatrics
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 298-2505
CARMELA BRIENZA MSN/CPNP
Nurse Practitioner (Pediatrics)
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 298-2505
VANESSA SENA CPNP-PC
Nurse Practitioner (Pediatrics)
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 298-2505
DR. KRISTIN MEREDICK M.D./M.B.A
Pediatrics
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 298-2505
ALAINA GEORGE MD
Pediatrics
5904 HOLLY AVE NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 298-2505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marybeth Thorn's NPI number?

The NPI number for Marybeth Thorn is 1730253063. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Marybeth Thorn located?

Marybeth Thorn practices at 5904 Holly Ave NE, Albuquerque, NM 87113. The listed phone number is (505) 298-2505.

What is Marybeth Thorn's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Marybeth Thorn was last updated on April 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.