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Individual

ANITA M RALSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
502 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 841-1000
(505) 843-2853
Mailing address
PO BOX 8387, ALBUQUERQUE, NM 87198-8387
(505) 841-1000
(505) 843-2853

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP00653
NM
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP00653
NM
363LA2200X
Adult Health Nurse Practitioner
R31674
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
E5436
NM
Enumeration date
06/08/2005
Last updated
03/09/2018
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