| Doctor Name: | REBECCA SUZANNE AUTIO |
| NPI Number: | 1710236138 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 2012010281 |
| Business Practice Address: | 301 Highway 65 South Mora, MN - 55051 |
| Business Phone Number: | 3206791212 |
| Business Fax Number: | 3206749001 |
| Mailing Address: | 301 Highway 65 South, MORA |
| State: | MN |
| Postal Code: | 55051 |
| Phone Number: | 3206791212 |
| Fax Number: | 3206749001 |
| NPI Enumeration Date: | 08/30/2012 |
| NPI Last Update Date: | 08/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2012010281 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |