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Individual

ANGELA L SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP05787
LA
363LP0200X
Pediatric Nurse Practitioner
RN107541
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1884910
LA
Enumeration date
03/23/2009
Last updated
01/21/2026
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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