IndividualActive
Angela Shaw, PNP
NPI 1154562049 · Pediatric Nurse Practitioner · Prairieville, LA
Provider details
- NPI number
- 1154562049
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PNP
- Sex
- Female
- Sole proprietor
- No
- License
- RN107541 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
17609 Old Jefferson Hwy Ste a
Prairieville, LA 70769-3980
Phone: (225) 647-8511
Fax: (225) 743-2085
Approximate (ZIP-level) locationGet directions
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Additional practice locations (4)
- 6650 Glen Oaks DriveBaton Rouge, LA 70812Phone: (225) 355-9759Fax: (225) 355-8650
- 5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038Phone: (225) 343-9505Fax: (225) 343-9171
- 12525 Perkins RdBaton Rouge, LA 70810-1907Phone: (225) 765-8341
- 1937 S Burnside AveGonzales, LA 70737-4632Phone: (225) 765-5500
Registry dates
- Enumerated
- 2009-03-23
- Last updated
- 2026-01-21
- Certified
- 2026-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.