Individual
LAURA A SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8820 COLUMBIA 100 PKWY STE 400, COLUMBIA, MD 21045-2175
(443) 393-9600
Mailing address
11765 BRIGHT PSGE, COLUMBIA, MD 21044-4347
(505) 238-5593
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R220524
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/23/2023
Last updated
08/11/2025
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