Provider Demographics
NPI:1306211040
Name:STOCKS, CYNTHIA ANN (CNP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANN
Last Name:STOCKS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MONUMENT HEALTH FAMILY MEDICINE
Mailing Address - Street 2:640 FLORMANN STREET
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701
Mailing Address - Country:US
Mailing Address - Phone:605-755-3300
Mailing Address - Fax:605-755-3129
Practice Address - Street 1:MONUMENT HEALTH FAMILY MEDICINE
Practice Address - Street 2:640 FLORMANN STREET
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701
Practice Address - Country:US
Practice Address - Phone:605-755-3300
Practice Address - Fax:605-755-3129
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-07
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDSD-CNP CP000994363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily