Ralston, Nickie
Ralston, Nickie is an individual health care provider with primary practice located at 1855 S Main St Ste A, Goshen IN 46526-4852. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ralston, Nickie can be contacted via phone (574) 533-7476.Contact Information
Primary practice address
1855 S Main St Ste A
Goshen IN 46526-4852
Phone: (574) 533-7476
Fax: (574) 533-7145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71005206A | Indiana |
Profile Details
| NPI number | 1013310184 |
|---|---|
| LBN Legal business name | Ralston, Nickie |
| Credentials | MSN FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2014 |
| Last updated | May 3rd, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013310184 | NPPES |
| Indiana | MEDICAID | 201269510 |
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