MRS. SHANNON AIFUWA NURSE PRACTITIONER NPI 1386033702

NPI Information

  • NPI: 1386033702
  • Provider Name: MRS. SHANNON AIFUWA, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 11331 W BROAD ST
    129
    GLEN ALLEN, VA
    ZIP 23060
  • Phone: (804) 364-0521

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NPI Details

MRS. Shannon Aifuwa, NURSE PRACTITIONER is an adult health nurse practitioner in Glen Allen, VA. MRS. Shannon Aifuwa, NURSE PRACTITIONER NPI is 1386033702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11331 W BROAD ST
129
GLEN ALLEN, VA
ZIP 23060-805
Phone: (804) 364-0521

The enumeration date for this NPI number is 1/22/2015 and was last updated on 1/22/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology0024171617VIRGINIANo
2363LA2200XNurse PractitionerAdult Health0024171617VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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