Provider Demographics
NPI:1588921670
Name:RAZA, TEHMINA (NP)
Entity type:Individual
Prefix:MS
First Name:TEHMINA
Middle Name:
Last Name:RAZA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5275 LEE HIGHWAY
Mailing Address - Street 2:SUIT 101
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207
Mailing Address - Country:US
Mailing Address - Phone:703-358-8700
Mailing Address - Fax:703-358-8703
Practice Address - Street 1:5275 LEE HWY
Practice Address - Street 2:SUIT 101
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22207-1619
Practice Address - Country:US
Practice Address - Phone:703-358-8700
Practice Address - Fax:703-358-8703
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-13
Last Update Date:2021-06-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0001198707163WL0100X
VA0024169992363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant