Porter, Shannon Lynne

Porter, Shannon Lynne is an individual health care provider with primary practice located at 14416 W Meeker Blvd # 200 , Sun City West AZ 85375-5284. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Porter, Shannon Lynne can be contacted via phone (623) 876-3800.

Contact Information

Primary practice address
14416 W Meeker Blvd # 200 Sun City West AZ 85375-5284
Phone: (623) 876-3800
Fax: (623) 285-2713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60672144 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60672144 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 279033 Arizona

Profile Details

NPI number 1356894422
LBN Legal business name Porter, Shannon Lynne
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2016
Last updated Oct 10th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356894422 NPPES
Washington MEDICAID 2065487

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