Waddle, Shaunda Lyn

Waddle, Shaunda Lyn is an sole proprietor health care provider with primary practice located at 5001 Opal Dr , Cheyenne WY 82009-5693. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Waddle, Shaunda Lyn can be contacted via phone (307) 214-6537.

Contact Information

Primary practice address
5001 Opal Dr Cheyenne WY 82009-5693
Phone: (307) 214-6537
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 206758 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1366101784
LBN Legal business name Waddle, Shaunda Lyn
Credentials CSFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2021
Last updated Jan 6th, 2022 - about 3 years ago

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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