Provider Demographics
NPI:1922711605
Name:AUNAPU, TAMARA JEAN (RN, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:JEAN
Last Name:AUNAPU
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14075 CITRUS WAY
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34601-8405
Mailing Address - Country:US
Mailing Address - Phone:407-921-8360
Mailing Address - Fax:
Practice Address - Street 1:14075 CITRUS WAY
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34601-8405
Practice Address - Country:US
Practice Address - Phone:407-921-8360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-28
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9282822163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant