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NPI Code Detail

MEDICARE: ERICA THORNE MSN

MEDICARE:   ERICA  THORNE  MSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianRN186119AZ
2363LF0000XFamily Nurse Practitioner338360AZ

General Provider Information

NPI Number : 1003770918
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA THORNE MSN
Provider Business Mailing Address
First Line : 11233 E STARFIRE AVE
Second Line :
City : MESA
State : AZ
Zip : 85212-7017
Country : US
Telephone Number : 623-217-8495
Fax Number :
Provider Business Practice Location Address
First Line : 11233 E STARFIRE AVE
Second Line :
City : MESA
State : AZ
Zip : 85212-7017
Country : US
Telephone Number : 623-217-8495
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 05/29/2026

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Directions to “ ERICA THORNE MSN” Practice Location

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