person
Mrs. Shannon Aifuwa, NURSEPRACTITIONER
Gerontology Nurse Practitioner in Glen Allen, Virginia
NPI 1386033702

Shannon Aifuwa is a Gerontology Nurse Practitioner based in Glen Allen, VA and is specialized in Gerontology. Shannon Aifuwa practices in Glen Allen, VA and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Shannon Aifuwa is 1386033702 and holds a License No. 0024171617 (Virginia).

The current practice location address for Shannon Aifuwa is 11331 W Broad St, Glen Allen, VA and can be reached out via phone at 804-364-0521.

Location: 11331 W Broad St, Glen Allen, VA, 23060-5805
person
Provider Profile Details
NPI Number
1386033702
Provider Name
Shannon Aifuwa
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
11331 W Broad St, Glen Allen, VA, 23060-5805
Phone Number
804-364-0521
Fax Number
Provider Enumeration Date
01/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11331 W Broad St
City
State
Zip
23060-5805
Phone Number
804-364-0521
Fax Number
person
Provider Business Mailing Address Details
Address
11331 W Broad St
City
State
Zip
23060-5805
Phone Number
804-364-0521
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
0024171617 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
0024171617 (Virginia)
Definition
Definition to come...
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