Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katoya Nicole Shaw, HAIRLOSSSPECIALIST

Individual provider Prosthetics Case Management · NPI 1538723267

Katoya Nicole Shaw, HAIRLOSSSPECIALIST is a Prosthetics Case Management in Upper Marlboro, Maryland. Practices as a sole proprietor. Licensed in District of Columbia.

Licensed in
DC
In the registry since
2019

Practice location Address checks out

12544 Woodstock Dr E
Upper Marlboro, MD 20772-5131
Phone: (240) 603-7903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X · Licence COP5008723 (DC)

Record details

NPI number1538723267
Entity typeIndividual (Type 1)
GenderFemale
Credentials HAIRLOSSSPECIALIST
Sole proprietorYes
NPI enumeratedApril 29, 2019
Last updated in NPPESApril 29, 2019

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