ETHAN JOHN SHAW LPN
NPI 1346751823
Licensed Practical Nurse in University Park, PA
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
Specialties & Licenses
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.
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.
UNIVERSITY PARK, PA 16802
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346751823, enumerated as an "individual" on October 24, 2017.
The provider is located at 438 STUDENT HEALTH CTR UNIVERSITY PARK, PA 16802 and the phone number is (814) 863-0774.
Licensed Practical Nurse with taxonomy code 164W00000X.