Provider Demographics
NPI:1386312924
Name:OUTLAW, REBECCA MORRIS (RN)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:MORRIS
Last Name:OUTLAW
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SAMFORD UNIVERSITY, DEPT OF NURSE ANESTHESIA
Mailing Address - Street 2:800 LAKESHORE DRIVE
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35229
Mailing Address - Country:US
Mailing Address - Phone:205-726-2401
Mailing Address - Fax:
Practice Address - Street 1:SAMFORD UNIVERSITY, DEPT OF NURSE ANESTHESIA
Practice Address - Street 2:800 LAKESHORE DRIVE
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35229
Practice Address - Country:US
Practice Address - Phone:206-726-2401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-158890163W00000X
AL143408367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse