Individual ProviderShannon Marie PorterRegistered NurseNursing Service ProvidersPractice Address820 34th St Ste 202, Bakersfield, CA 93301-2268(661) 862-7377PECOS EnrollmentBased on the most recent information from CMS, provider Shannon Marie Porter does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:54 AM.Profile DetailsProvider ID1346778784Provider TypeIndividualFull NamePorter, Shannon MarieCredentialRNGenderFemaleSole ProprietorNoEnumeration Date5/30/2017Last Updated5/30/2017Contact InformationPractice LocationPractice Address820 34th St Ste 202, Bakersfield, CA 93301-2268Phone(661) 862-7377Fax(661) 323-3001Mailing LocationMailing Address14312 San Esteban Ave, Bakersfield, CA 93314-3781Phone(661) 862-7377Fax(661) 323-3001Provider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense834519California