Provider Demographics
NPI:1659401214
Name:KRAUSE, ROBIN VEE (CNS, CNP)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:VEE
Last Name:KRAUSE
Suffix:
Gender:
Credentials:CNS, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6140 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-3821
Mailing Address - Country:US
Mailing Address - Phone:440-233-7232
Mailing Address - Fax:440-282-4779
Practice Address - Street 1:6140 S BROADWAY
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-3821
Practice Address - Country:US
Practice Address - Phone:440-233-7232
Practice Address - Fax:440-282-4779
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.161084163W00000X
OHAPRN.CNP.17965363LG0600X
OHAPRN.CNS.06225364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No163W00000XNursing Service ProvidersRegistered Nurse
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0000000390570OtherANTHEM BLUE CROSS
OH0090401Medicaid
P00328212OtherRAILROAD MEDICARE
OH0000000390570OtherANTHEM BLUE CROSS