Individual provider · Type 1 NPI
Shaunda Lyn Waddle, CSFA
Surgical Physician Assistant · Cheyenne, WY
NPI number
1366101784
Active
Practice location
5001 Opal Dr
Cheyenne, WY 82009-5693
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Assistant | 246ZC0007X | 206758 (WY) |
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in Cheyenne
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- Michael D. Scott, PA-CSurgical Physician Assistant Cheyenne, WY NPI 1114007028
- Montanna Lee Merrick, PA-CSurgical Physician Assistant Cheyenne, WY NPI 1205697315
- Ryan R. Wallace, CFASurgical Physician Assistant Cheyenne, WY NPI 1285070326
- Beverly Ann Spencer, PA-CSurgical Physician Assistant Cheyenne, WY NPI 1427820448
- Katelynn Loken, PA-CSurgical Physician Assistant Cheyenne, WY NPI 1447920269
- Molly A. Anderson, PA-CSurgical Physician Assistant Cheyenne, WY NPI 1841728623
- Amanda Moeller, CSFASurgical Physician Assistant Cheyenne, WY NPI 1932804143
About NPI 1366101784
Shaunda Lyn Waddle, CSFA's National Provider Identifier is 1366101784, issued on Dec 13, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Cheyenne, WY. The record was last updated on Jan 6, 2022.