Ralston, Susan C

Ralston, Susan C is an individual health care provider with primary practice located at 9165 W Thunderbird Rd Suite 101, Peoria AZ 85381-4847. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Ralston, Susan C can be contacted via phone (623) 523-6555.

Contact Information

Primary practice address
9165 W Thunderbird Rd Suite 101 Peoria AZ 85381-4847
Phone: (623) 523-6555
Fax: (623) 523-6586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN133535 Arizona

Profile Details

NPI number 1285616292
LBN Legal business name Ralston, Susan C
Credentials RN MSN ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jan 24th, 2008 - about 16 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 1285616292 NPPES
Arizona MEDICAID 959588
Arizona Other RN133535

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