ETHAN JOHN SHAW LPN
NPI 1346751823
Licensed Practical Nurse in University Park, PA

Q: What is Ethan Shaw's NPI number?

The NPI number for Ethan Shaw is 1346751823. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Q: What is Ethan Shaw's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Shaw was last updated on October 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 24, 2017

438 STUDENT HEALTH CTR, UNIVERSITY PARK, PA 16802(814) 863-0774 Get Directions Write a Review

NPPES record last updated: October 24, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Ethan John Shaw Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN JOHN SHAW LPN (NPI 1346751823) is an individual licensed practical nurse in University Park, Pennsylvania, licensed in Pennsylvania (PN271630) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1346751823

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameETHAN JOHN SHAWCredential: LPN

Location Address438 STUDENT HEALTH CTRUniversity Park, PA 16802-2129

Mailing Address413 Arc RdWest Decatur, PA 16878-8540 · (814) 592-8509

Phone(814) 863-0774

Sole ProprietorNo

Enumeration DateOctober 24, 2017

✔ NPI 1346751823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in PA · PN271630

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

438 STUDENT HEALTH CTR, University Park, PA 16802

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANA MARTIN LPN

Licensed Practical Nurse

438 STUDENT HEALTH CTR
UNIVERSITY PARK, PA 16802

Centre County (814) 863-0774

JESSIE ROGERS LPN

Licensed Practical Nurse

438 STUDENT HEALTH CTR
UNIVERSITY PARK, PA 16802

Centre County (814) 863-0774

ANGELA CHRISTINE LUCAS LPN

Clinical Nurse Specialist

438 STUDENT HEALTH CTR
UNIVERSITY PARK, PA 16802

Centre County (814) 863-0774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Shaw's NPI number?

The NPI number for Ethan Shaw is 1346751823. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Where is Ethan Shaw located?

Ethan Shaw practices at 438 Student Health Ctr, University Park, PA 16802. The listed phone number is (814) 863-0774.

What is Ethan Shaw's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Ethan Shaw was last updated on October 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.