Provider Demographics
NPI:1346438066
Name:KNAUS, ROBYN M (APRN, BC)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:M
Last Name:KNAUS
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 449
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-0449
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 WAYNE ST STE 100
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-3309
Practice Address - Country:US
Practice Address - Phone:740-568-2214
Practice Address - Fax:740-568-2099
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.12904-NP363LF0000X
WV67658363LF0000X
OHAPRN.CNP.12904363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2893347Medicaid
WV3810012489Medicaid
OHP01535804OtherRAILROAD MEDICARE
OHH083650Medicare PIN