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Shannon Aifuwa, NURSE PRACTITIONER
NPI 1386033702 · on the registry since 2015 · sole proprietor
Practice
- Address
- 11331 W Broad St
129
Glen Allen, VA 23060 - Phone
- (804) 364-0521
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363LG0600X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-01-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia