Individual
NIKKI D RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 BANNOCK ST # MC3240, DENVER, CO 80204-4597
(303) 436-6000
Mailing address
PO BOX 172263, DENVER, CO 80217-2263
(888) 987-7975
(405) 792-8910
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.006510
CO
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
04/14/2018
Last updated
10/03/2023
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