National Provider Identifier

Shana Davis

Shana Davis is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Gasport, NY and a listed phone number of (716) 504-7318.

NPI 1538980230Gasport, NYLicensed Practical Nurse

Profile Overview

NPI
1538980230
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 24, 2024
Last Updated
October 24, 2024

Practice Location

  • 7817 Chestnut Ridge RD
  • Gasport, NY 14067-9503

Phone: (716) 504-7318

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1538980230
Entity Type
Individual
Last Name
Davis
First Name
Shana
Mailing Street Address
7817 Chestnut Ridge RD
Mailing City
Gasport
Mailing State
NY
Mailing ZIP Code
14067-9503
Mailing Country
US
Mailing Phone
(716) 504-7318
Practice Street Address
7817 Chestnut Ridge RD
Practice City
Gasport
Practice State
NY
Practice ZIP Code
14067-9503
Practice Country
US
Practice Phone
(716) 504-7318
Enumeration Date
October 24, 2024
Last Updated
October 24, 2024
Sex
Female
Sole Proprietor
No
Certification Date
October 24, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)