Provider Demographics
NPI:1629603949
Name:STOCKING SIAGKRIS, RUBY ROSE (MSN ARNP CNM PMHNP)
Entity type:Individual
Prefix:
First Name:RUBY
Middle Name:ROSE
Last Name:STOCKING SIAGKRIS
Suffix:
Gender:
Credentials:MSN ARNP CNM PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 W RIVERSIDE AVE STE N
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0581
Mailing Address - Country:US
Mailing Address - Phone:206-483-0994
Mailing Address - Fax:206-483-0118
Practice Address - Street 1:8401 35TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98126-3601
Practice Address - Country:US
Practice Address - Phone:206-483-0994
Practice Address - Fax:206-483-0118
Is Sole Proprietor?:No
Enumeration Date:2020-03-06
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61046288367A00000X
WAAP61678118363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife