Individual
SUSAN C RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN ARNP
Contact information
Practice address
9165 W THUNDERBIRD RD, SUITE 101, PEORIA, AZ 85381-4847
(623) 523-6555
(623) 523-6586
Mailing address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-3800
(623) 523-6586
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN133535
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
959588
—
AZ
01
—
RN133535
ST LICENSE
AZ
Enumeration date
11/16/2005
Last updated
01/24/2008
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