Provider Demographics
NPI:1154576551
Name:WEILBAKER, ROBYN MARIE (CNP)
Entity type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:MARIE
Last Name:WEILBAKER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MS
Other - First Name:ROBYN
Other - Middle Name:MARIE
Other - Last Name:MATVYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:910 MAIN RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON ISLAND
Mailing Address - State:WI
Mailing Address - Zip Code:54246-9004
Mailing Address - Country:US
Mailing Address - Phone:920-847-2424
Mailing Address - Fax:
Practice Address - Street 1:910 MAIN RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON ISLAND
Practice Address - State:WI
Practice Address - Zip Code:54246-9004
Practice Address - Country:US
Practice Address - Phone:920-847-2424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-26
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71002810A363L00000X
IN28151253A163WN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WN0300XNursing Service ProvidersRegistered NurseNephrology