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

MISS SUSAN B SHANAHAN, RN

Active Sole Proprietor

MISS SUSAN B SHANAHAN, RN is a Registered Nurse healthcare provider located in PORT JEFFERSON STATION, New York. NPI 1396446431 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · PORT JEFFERSON STATION, NY

Registration Details

NPI Number
1396446431
Provider Type
Individual
Gender
Female
NPI Issued
Mar 15, 2023 (3.4295282540694 yrs)
Last Updated
Aug 20, 2024
License
634826 (NY)
Sole Proprietor
Yes

Practice Information

Address
48 COMMODORE CIR
PORT JEFFERSON STATION, NY, 117762299
Browse NY providers · Browse ZIP 11776
Phone
9172395082
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in PORT JEFFERSON STATION, NY

Name Credential NPI
MS. KATHLEEN PAULSON 1962592949
DONNA ROSEMARIE ELLIS-BREA RN 1528134053
MRS. MARIE E WALSH RN 1013128271
MRS. JEANNETTE LILLIAN RODGERS RN 1033309349
MARY EMERSON RN 1225226681
KERIANN MARIE GREEHY LPN 1609065911
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.