# EDWIN PAUL STAAT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275558934
- **Gender:** Man
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3003831 | KY | Yes |
| 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

- **Enumeration date:** 07/13/2006
- **Last updated:** 01/14/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 610661458 | TAX ID | KY |