MEDICARE: MRS. TAMARA JEAN AUNAPU RN, IBCLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WL0100X	Lactation Consultant (Registered Nurse)	9282822	FL

General Provider Information

NPI Number	:	1922711605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TAMARA JEAN AUNAPU RN, IBCLC

Provider Business Mailing Address
First Line	:	14075 CITRUS WAY
Second Line	:
City	:	BROOKSVILLE
State	:	FL
Zip	:	34601-8405
Country	:	US
Telephone Number	:	407-921-8360
Fax Number	:

Provider Business Practice Location Address
First Line	:	14075 CITRUS WAY
Second Line	:
City	:	BROOKSVILLE
State	:	FL
Zip	:	34601-8405
Country	:	US
Telephone Number	:	407-921-8360
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2022
Last Update Date	:	03/08/2026

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