Provider Demographics
NPI:1346811833
Name:RALSTON, CINDY LOU (RN)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:LOU
Last Name:RALSTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:CINDY
Other - Middle Name:LOU
Other - Last Name:RALSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1965 PENNY ROYAL AVE
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-8509
Mailing Address - Country:US
Mailing Address - Phone:509-551-4504
Mailing Address - Fax:
Practice Address - Street 1:30 HUNTER LN
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2499
Practice Address - Country:US
Practice Address - Phone:509-551-4504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00085741163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse