SearchWyomingSurgical Physician Assistant

Shaunda Waddle, CSFA

NPI 1366101784 · on the registry since 2021 · sole proprietor

Practice

Address
5001 Opal Dr
Cheyenne, WY 82009
Phone
(307) 214-6537

Registry record

Primary taxonomy
Surgical Physician Assistant
363AS0400X
Also registered as
Surgical Assistant
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming