Individual
AMY RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7423 GRANBY ST, NORFOLK, VA 23505-3406
(757) 451-5000
(757) 451-5005
Mailing address
4508 MCGREGOR DR, VIRGINIA BEACH, VA 23462-4531
(757) 675-9600
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024173917
VA
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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