Healthcare Provider Details

I. General information

NPI: 1578871174
Provider Name (Legal Business Name): WALINA MUHSINY PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2010
Last Update Date: 02/24/2022
Certification Date: 02/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1867 AMHERST ST
WINCHESTER VA
22601-2801
US

IV. Provider business mailing address

5000 COX RD
GLEN ALLEN VA
23060-9263
US

V. Phone/Fax

Practice location:
  • Phone: 540-667-8724
  • Fax: 540-723-0741
Mailing address:
  • Phone: 804-822-4355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0110003319
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: