Provider Demographics
NPI:1437995826
Name:WIAFE, EUNICE (FNP)
Entity type:Individual
Prefix:
First Name:EUNICE
Middle Name:
Last Name:WIAFE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:EUNICE
Other - Middle Name:N/A
Other - Last Name:ANINAKWA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7125 LEIRE LN
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-7792
Mailing Address - Country:US
Mailing Address - Phone:804-503-4074
Mailing Address - Fax:
Practice Address - Street 1:2003 COBB ST
Practice Address - Street 2:
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901-2603
Practice Address - Country:US
Practice Address - Phone:434-392-6106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024190468363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily