Individual provider · Type 1 NPI

Autumn Eau Claire Newberry

Nurse Practitioner · Southern Pines, NC

NPI number 1831954932 Active

Practice location

103 Gossman Rd
Southern Pines, NC 28387-2225

Mailing address

3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5022152 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1831954932

Autumn Eau Claire Newberry's National Provider Identifier is 1831954932, issued on Feb 19, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Southern Pines, NC. The record was last updated on May 30, 2025.