Provider Demographics
NPI:1780182402
Name:AUTREY, COURTNEY LINDER (APRN)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:LINDER
Last Name:AUTREY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:COURTNEY
Other - Middle Name:B
Other - Last Name:LINDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2950 ALT US HWY 27 S STE B
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-4912
Mailing Address - Country:US
Mailing Address - Phone:863-402-3429
Mailing Address - Fax:863-402-3275
Practice Address - Street 1:2950 ALT US HWY 27 S STE B
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-4912
Practice Address - Country:US
Practice Address - Phone:863-402-3429
Practice Address - Fax:863-402-3275
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-28
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9362846363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily