Provider Demographics
NPI:1366315715
Name:KWA-KOFI, EUGENIA MAWUFENYA (APRN)
Entity type:Individual
Prefix:
First Name:EUGENIA
Middle Name:MAWUFENYA
Last Name:KWA-KOFI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14011 BIG CREST LN APT 306
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-5556
Mailing Address - Country:US
Mailing Address - Phone:703-401-6365
Mailing Address - Fax:
Practice Address - Street 1:14011 BIG CREST LN APT 306
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-5556
Practice Address - Country:US
Practice Address - Phone:703-401-6365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024194760363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner