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

Miss. Susan B Shanahan, RN

Individual provider Registered Nurse · NPI 1396446431

Miss. Susan B Shanahan, RN is a Registered Nurse in Port Jefferson Station, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

48 Commodore Cir
Port Jefferson Station, NY 11776-2299
Phone: (917) 239-5082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 634826 (NY)

Record details

NPI number1396446431
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedMarch 15, 2023
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024

Other providers in Port Jefferson Station