Aifuwa, Shannon

Aifuwa, Shannon is an sole proprietor health care provider with primary practice located at 11331 W Broad St 129, Glen Allen VA 23060-5805. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Aifuwa, Shannon can be contacted via phone (804) 364-0521.

Contact Information

Primary practice address
11331 W Broad St 129 Glen Allen VA 23060-5805
Phone: (804) 364-0521
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024171617 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 0024171617 Virginia

Profile Details

NPI number 1386033702
LBN Legal business name Aifuwa, Shannon
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2015
Last updated Jan 22nd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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