Individual
CARLOTTA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
519 METAIRIE ROAD, METAIRIE, LA 70005
(504) 838-6000
(504) 835-6685
Mailing address
519 METAIRIE ROAD, METAIRIE, LA 70005
(504) 838-6000
(504) 835-6685
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN104076
LA
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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