MEDICARE: MRS. ALLISON M RALSTON FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	041587998	IL

General Provider Information

NPI Number	:	1578407862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALLISON M RALSTON FNP-C

Provider Business Mailing Address
First Line	:	4350 7TH ST STE B
Second Line	:
City	:	MOLINE
State	:	IL
Zip	:	61265-6870
Country	:	US
Telephone Number	:	309-517-1180
Fax Number	:

Provider Business Practice Location Address
First Line	:	4350 7TH ST STE B
Second Line	:
City	:	MOLINE
State	:	IL
Zip	:	61265-6870
Country	:	US
Telephone Number	:	309-517-1180
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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