| Doctor Name: | REBECCA LEE BRANUM AUTREY |
| NPI Number: | 1316245301 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PNP |
| License Number: | 1-119386 |
| Business Practice Address: | 232 Office Park Dr Gulf Shores, AL - 365423432 |
| Business Phone Number: | 2519682323 |
| Business Fax Number: | 2519682134 |
| Mailing Address: | 232 Office Park Dr, GULF SHORES |
| State: | AL |
| Postal Code: | 365423432 |
| Phone Number: | 2519682323 |
| Fax Number: | 2519682134 |
| NPI Enumeration Date: | 03/01/2011 |
| NPI Last Update Date: | 03/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 1-119386 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |