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

Shane Connolly, RN

Individual provider Registered Nurse · NPI 1396410064

Shane Connolly, RN is a Registered Nurse in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

33 Moore St
Staten Island, NY 10306-1641
Phone: (347) 552-0819
Fax: (718) 979-6940
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 821841 (NY)

Record details

NPI number1396410064
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedAugust 13, 2021
Last updated in NPPESAugust 13, 2021
Certification dateAugust 13, 2021

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