Provider Demographics
NPI:1316903248
Name:TAFUR, LAUREN ELIZABETH (A R N P)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:TAFUR
Suffix:
Gender:F
Credentials:A R N P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1503 BUENOS AIRES BLVD
Mailing Address - Street 2:BUILDING 160
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32159-6821
Mailing Address - Country:US
Mailing Address - Phone:352-350-6241
Mailing Address - Fax:352-350-6249
Practice Address - Street 1:1503 BUENOS AIRES BLVD
Practice Address - Street 2:BUILDING 160
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32159-6821
Practice Address - Country:US
Practice Address - Phone:352-350-6241
Practice Address - Fax:352-350-6249
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9176662363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU5561ZMedicare ID - Type Unspecified
Q49894Medicare UPIN