DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA MARIE RALSTON, PA

Active

AMANDA MARIE RALSTON, PA is a Physician Assistant healthcare provider located in MOUNTAIN HOME AFB, Idaho. NPI 1336800945 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MOUNTAIN HOME AFB, ID

Registration Details

NPI Number
1336800945
Provider Type
Individual
Gender
Female
NPI Issued
Jan 5, 2022 (4.5939066929383 yrs)
Last Updated
Jan 5, 2022

Practice Information

Address
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID, 836481062
Browse ID providers · Browse ZIP 83648
Phone
2088287900
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in MOUNTAIN HOME AFB, ID

Name Credential NPI
MR. PAULO RAFAEL DEPAULA PA-C 1518193507
GLORIA CALVILLO 1821629288
KAYLA AZALEA POPE PA-C 1568123818
ALYSSA MAY PEREZ PA-C 1376355867
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.