MRS. SHANNON AIFUWA NURSE PRACTITIONER
NPI 1386033702
Nurse Practitioner - Adult Health in Glen Allen, VA

Active since January 22, 2015
11331 W BROAD ST, 129, GLEN ALLEN, VA 23060(804) 364-0521 Get Directions Write a Review

NPPES record last updated: January 22, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Shannon Aifuwa Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHANNON AIFUWA NURSE PRACTITIONER (NPI 1386033702) is an individual adult health provider in Glen Allen, Virginia, licensed in Virginia (0024171617) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1386033702
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. SHANNON AIFUWACredential: NURSE PRACTITIONER
Location Address11331 W BROAD ST, 129Glen Allen, VA 23060-5805
Mailing Address11331 W Broad St, 129Glen Allen, VA 23060-5805
Sole ProprietorYes
Enumeration DateJanuary 22, 2015
NPI 1386033702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in VA · 0024171617
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 0024171617 (VA)
11331 W BROAD ST, Glen Allen, VA 23060

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
11331 W BROAD ST, #131
GLEN ALLEN, VA 23060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Aifuwa's NPI number?

The NPI number for Shannon Aifuwa is 1386033702. It was assigned to this individual provider in the NPPES registry on January 22, 2015.

Where is Shannon Aifuwa located?

Shannon Aifuwa practices at 11331 W Broad St 129, Glen Allen, VA 23060. The listed phone number is (804) 364-0521.

What is Shannon Aifuwa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Shannon Aifuwa was last updated on January 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.