Ralston, Nicole L

Ralston, Nicole L is an sole proprietor health care provider with primary practice located at 5301 E Grant Rd , Tucson AZ 85712-2805. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Nursing Service Providers / Hospice, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Ralston, Nicole L can be contacted via phone (520) 324-1205.

Contact Information

Primary practice address
5301 E Grant Rd Tucson AZ 85712-2805
Phone: (520) 324-1205
Fax: (520) 324-3650
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP8413 Arizona
Nursing Service Providers / Hospice 163WH1000X RN113296 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP8413 Arizona

Profile Details

NPI number 1619341831
LBN Legal business name Ralston, Nicole L
Credentials AGNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2015
Last updated Sep 16th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619341831 NPPES
Arizona MEDICAID 489037

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