Individual provider · Type 1 NPI

Aqua Shaw, APRN, FNP-C

Family Nurse Practitioner · New Iberia, LA

NPI number 1285303958 Active

Practice location

2315 E Main St
New Iberia, LA 70560-4031

Mailing address

11110 Boardwalk Dr Apt 21
Baton Rouge, LA 70816-8394

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X221923 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1285303958

Aqua Shaw, APRN, FNP-C's National Provider Identifier is 1285303958, issued on Sep 7, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Iberia, LA. The record was last updated on Sep 7, 2021.