MRS. SHAUNDA LYN WADDLE CSFA NPI 1366101784

NPI Information

NPI: 1366101784
Provider Name: MRS. SHAUNDA LYN WADDLE, CSFA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
5001 OPAL DR
CHEYENNE, WY
ZIP 82009
Phone: (307) 214-6537
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MRS. Shaunda Lyn Waddle, CSFA is a surgical physician assistant in Cheyenne, WY. MRS. Shaunda Lyn Waddle, CSFA NPI is 1366101784. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5001 OPAL DR
CHEYENNE, WY
ZIP 82009-693
Phone: (307) 214-6537

The enumeration date for this NPI number is 12/13/2021 and was last updated on 1/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246ZC0007X	Specialist/Technologist, Other	Surgical Assistant	206758	WYOMING	No
2	363AS0400X	Physician Assistant	Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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