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

Ethan John Shaw, LPN

Individual provider Licensed Practical Nurse · NPI 1346751823

Ethan John Shaw, LPN is a Licensed Practical Nurse in University Park, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2017.

Licensed in
PA
In the registry since
2017
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

438 Student Health Ctr
University Park, PA 16802-2129
Phone: (814) 863-0774
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN271630 (PA)

Record details

NPI number1346751823
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorNo
NPI enumeratedOctober 24, 2017
Last updated in NPPESOctober 24, 2017

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