Provider Demographics
NPI:1467767350
Name:AFEWORK, TENBIT (PA)
Entity Type:Individual
Prefix:
First Name:TENBIT
Middle Name:
Last Name:AFEWORK
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3928 LANSING CT
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22026-2460
Mailing Address - Country:US
Mailing Address - Phone:703-221-2109
Mailing Address - Fax:
Practice Address - Street 1:3928 LANSING CT
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22026-2460
Practice Address - Country:US
Practice Address - Phone:703-221-2109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0004265363A00000X
VA0110003358363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant