Individual ProviderEllen C ShannonRegistered NurseNursing Service ProvidersPractice Address1 Larkin Plz, Yonkers, NY 10701-7081(914) 376-8226PECOS EnrollmentBased on the most recent information from CMS, provider Ellen C Shannon 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 9:43 AM.Profile DetailsProvider ID1679840813Provider TypeIndividualFull NameShannon, Ellen CTitleMs.CredentialR.N.GenderFemaleSole ProprietorNoEnumeration Date11/16/2011Last Updated11/16/2011Contact InformationPractice LocationPractice Address1 Larkin Plz, Yonkers, NY 10701-7081Phone(914) 376-8226FaxUnlisted FaxMailing LocationMailing Address316 E 241st St, Bronx, NY 10470-1714PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense524626-1New York