Individual
KATRINA LYNN NECAISE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3769 PONTCHARTRAIN DR STE 101, SLIDELL, LA 70458-4852
(985) 643-5242
Mailing address
3769 PONTCHARTRAIN DR STE 101, SLIDELL, LA 70458-4852
(985) 643-5242
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
906370
MS
Other
Enumeration date
12/11/2023
Last updated
03/26/2026
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