Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Nicole L Ralston, AGNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1619341831

Mrs. Nicole L Ralston, AGNP-C is a Gerontology Nurse Practitioner in Tucson, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona and Maryland.

Licensed in
AZ, MD
In the registry since
2015
Specialties on file
3

Practice location Address checks out

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone: (520) 324-1205
Fax: (520) 324-3650
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1423 W Kandy Ct, Tucson, AZ 85745-3805 — (520) 248-8129

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence AP8413 (AZ)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP8413 (AZ)
Hospice Registered Nurse Taxonomy 163WH1000X · Licence RN113296 (MD)

Record details

NPI number1619341831
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorYes
NPI enumeratedNovember 26, 2015
Last updated in NPPESSeptember 16, 2021
Certification dateSeptember 16, 2021

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