Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marybeth Thorn, PA-C

Individual provider Physician Assistant · NPI 1730253063

Marybeth Thorn, PA-C is a Physician Assistant in Albuquerque, New Mexico. Works from 2 locations. Licensed in Colorado, North Carolina and New Mexico.

Licensed in
CO, NC, NM
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5904 Holly Ave NE
Albuquerque, NM 87113-2472
Phone: (505) 298-2505
Fax: (505) 298-2985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 N 11th Ave, Greeley, CO 80631-2011 — (970) 352-8898

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 86-PA052 (NM)
Physician Assistant Taxonomy 363A00000X · Licence 244 (CO)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 102676 (NC)

Record details

NPI number1730253063
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 20, 2006
Last updated in NPPESApril 7, 2021
Certification dateApril 7, 2021

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