Provider Demographics
NPI:1003457284
Name:SOJOR, SEMPER LUMINE TANAMOR (FNP-C)
Entity Type:Individual
Prefix:
First Name:SEMPER LUMINE
Middle Name:TANAMOR
Last Name:SOJOR
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 BEECH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-4547
Mailing Address - Country:US
Mailing Address - Phone:956-800-5171
Mailing Address - Fax:956-800-5178
Practice Address - Street 1:1018 BEECH AVE STE 100
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-4547
Practice Address - Country:US
Practice Address - Phone:956-800-5171
Practice Address - Fax:956-800-5178
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-30
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142972363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty