MRS. SHANNON AIFUWA, NURSE PRACTITIONER

Nurse Practitioner - Adult Health

Active Individual
NPI: 1386033702

Practice Address

11331 W BROAD ST
129
Glen Allen, VA 23060

Phone: (804) 364-0521

Specialties

Specialty Code Primary License
Nurse Practitioner - Adult Health 363LA2200X Yes 0024171617 (VA)
Nurse Practitioner - Gerontology 363LG0600X No 0024171617 (VA)

Frequently Asked Questions

NPI 1386033702 is the National Provider Identifier for MRS. SHANNON AIFUWA, NURSE PRACTITIONER, a Nurse Practitioner - Adult Health provider located in Glen Allen, VA. This NPI was enumerated on January 22, 2015.
MRS. SHANNON AIFUWA, NURSE PRACTITIONER practices at 11331 W BROAD ST, 129, Glen Allen, VA 23060.

Quick Facts

NPI
1386033702
Type
Individual
Enumerated
Jan 22, 2015
Last Updated
Jan 22, 2015

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