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NPI Code Detail

MEDICARE: SHIRLEY-VICTORY NWAJEI RN

MEDICARE:   SHIRLEY-VICTORY  NWAJEI  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WH0200XHome Health Registered Nurse0001337140VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336001122
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY-VICTORY NWAJEI RN
Provider Business Mailing Address
First Line : 2800 CLARENDON BLVD APT 321
Second Line :
City : ARLINGTON
State : VA
Zip : 22201-7012
Country : US
Telephone Number : 540-222-8986
Fax Number :
Provider Business Practice Location Address
First Line : 2800 CLARENDON BLVD APT 321
Second Line :
City : ARLINGTON
State : VA
Zip : 22201-7012
Country : US
Telephone Number : 540-222-8986
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/02/2025

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Directions to “ SHIRLEY-VICTORY NWAJEI RN” Practice Location

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