Individual ProviderShannon Lynn NolenRegistered NurseNursing Service ProvidersPractice Address474 W Vermont Ave Ste 101, Escondido, CA 92025-6584(760) 480-2255PECOS EnrollmentBased on the most recent information from CMS, provider Shannon Lynn Nolen 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 12:57 PM.Profile DetailsProvider ID1366836819Provider TypeIndividualFull NameNolen, Shannon LynnCredentialRNGenderFemaleSole ProprietorNoEnumeration Date3/23/2015Last Updated3/23/2015Contact InformationPractice LocationPractice Address474 W Vermont Ave Ste 101, Escondido, CA 92025-6584Phone(760) 480-2255Fax(760) 741-6645Mailing LocationMailing Address474 W Vermont Ave Ste 101, Escondido, CA 92025-6584Phone(760) 480-2255Fax(760) 741-6645Provider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense809026California