MEDICARE: EUGENIA MAWUFENYA KWA-KOFI APRN

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
1	363L00000X	Nurse Practitioner	0024194760	VA

General Provider Information

NPI Number	:	1366315715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUGENIA MAWUFENYA KWA-KOFI APRN

Provider Business Mailing Address
First Line	:	14011 BIG CREST LN
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22191-5578
Country	:	US
Telephone Number	:	703-401-6365
Fax Number	:

Provider Business Practice Location Address
First Line	:	14011 BIG CREST LN
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22191-5578
Country	:	US
Telephone Number	:	703-401-6365
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2025
Last Update Date	:	12/14/2025

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