Provider Demographics
NPI:1851437263
Name:FRANKLIN, RUBY J (ARNP)
Entity Type:Individual
Prefix:
First Name:RUBY
Middle Name:J
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 WATER ST SW
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-2851
Mailing Address - Country:US
Mailing Address - Phone:360-352-2928
Mailing Address - Fax:
Practice Address - Street 1:615 LILLY RD NE
Practice Address - Street 2:SUITE 200
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-5117
Practice Address - Country:US
Practice Address - Phone:360-413-8413
Practice Address - Fax:360-413-8879
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30001854363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9604646Medicaid
WAAB20346Medicare ID - Type Unspecified
WAR31759Medicare UPIN