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Individual
EDWIN PAUL STAAT
Active
Individual
EDWIN PAUL STAAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3003831
KY
363LA2200X
Adult Health Nurse Practitioner
P3831
KY
363LF0000X
Family Nurse Practitioner
16864-NP
OH
363LF0000X
Family Nurse Practitioner
P3003831
KY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
P3831
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610661458
TAX ID
KY
Enumeration date
07/13/2006
Last updated
01/14/2026
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