Healthcare Provider Details

I. General information

NPI: 1346297744
Provider Name (Legal Business Name): ROBYN M STAUBACH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

531 N CITRUS AVE # 106
CRYSTAL RIVER FL
34428-4016
US

IV. Provider business mailing address

531 N CITRUS AVE # 106
CRYSTAL RIVER FL
34428-4016
US

V. Phone/Fax

Practice location:
  • Phone: 352-234-6255
  • Fax: 800-460-4178
Mailing address:
  • Phone: 352-234-6255
  • Fax: 800-460-4178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11014100
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11014100
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: