ETHAN SHAW, LPN
Licensed Practical Nurse
Active
Individual
NPI: 1346751823
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | PN271630 (PA) |
Frequently Asked Questions
NPI 1346751823 is the National Provider Identifier for ETHAN SHAW, LPN, a Licensed Practical Nurse provider located in University Park, PA. This NPI was enumerated on October 24, 2017.
ETHAN SHAW, LPN practices at 438 STUDENT HEALTH CTR, University Park, PA 16802.
Quick Facts
- NPI
- 1346751823
- Type
- Individual
- Enumerated
- Oct 24, 2017
- Last Updated
- Oct 24, 2017
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