Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Shannon Aifuwa, NURSEPRACTITIONER

Individual provider Adult Health Nurse Practitioner · NPI 1386033702

Mrs. Shannon Aifuwa, NURSEPRACTITIONER is an Adult Health Nurse Practitioner in Glen Allen, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2015
Specialties on file
2

Practice location Address checks out

11331 W Broad St 129
Glen Allen, VA 23060-5805
Phone: (804) 364-0521
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 0024171617 (VA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 0024171617 (VA)

Record details

NPI number1386033702
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJanuary 22, 2015
Last updated in NPPESJanuary 22, 2015

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