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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ETHAN JOHN SHAW, LPN

Active

ETHAN JOHN SHAW, LPN is a Licensed Practical Nurse healthcare provider located in UNIVERSITY PARK, Pennsylvania. NPI 1346751823 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · UNIVERSITY PARK, PA

Registration Details

NPI Number
1346751823
Provider Type
Individual
Gender
Male
NPI Issued
Oct 24, 2017 (8.8038027518967 yrs)
Last Updated
Oct 24, 2017
License
PN271630 (PA)

Practice Information

Address
438 STUDENT HEALTH CTR
UNIVERSITY PARK, PA, 168022129
Browse PA providers · Browse ZIP 16802
Phone
8148630774
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in UNIVERSITY PARK, PA

Name Credential NPI
WENDY KRAMMES 1932593514
NICOLE REDIN LPN 1821482407
BARBIE KANE 1679967251
TERRI SMOYER LPN 1437543931
EVELYN GERACE LPN 1972997484
ANNE BRUMBAUGH LPN 1457745036
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.