Provider Demographics
NPI:1659052066
Name:SEMPER, MELVINA (RN)
Entity Type:Individual
Prefix:
First Name:MELVINA
Middle Name:
Last Name:SEMPER
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 1:6423 OCEAN AVE S
Mailing Address - Street 2:
Mailing Address - City:ARVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11692-2309
Mailing Address - Country:US
Mailing Address - Phone:191-775-0644
Mailing Address - Fax:
Practice Address - Street 1:6423 OCEAN AVE S
Practice Address - Street 2:
Practice Address - City:ARVERNE
Practice Address - State:NY
Practice Address - Zip Code:11692-2309
Practice Address - Country:US
Practice Address - Phone:191-775-0644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY511206-01163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy