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

Shadane Davis

Individual provider Infusion Therapy Registered Nurse · NPI 1104755206

Shadane Davis is an Infusion Therapy Registered Nurse in Melville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

265 Broadhollow Rd Ste 201
Melville, NY 11747-4833
Phone: (888) 722-2072
Show map & directions

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

Specialties & licences

Infusion Therapy Registered Nurse (primary) Taxonomy 163WI0500X · Licence N02712 (NY)

Record details

NPI number1104755206
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 15, 2026
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026
Mailing address265 Broadhollow Rd Ste 201, Melville, NY 11747-4833

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