Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dylan Waddill

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1932994597

Dylan Waddill is a Student in an Organized Health Care Education/Training Program in Pueblo, Colorado. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

902 Lakeview Ave
Pueblo, CO 81004-3597
Phone: (719) 557-5855
Fax: (719) 557-5097
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1932994597
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2025
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025
Mailing address902 Lakeview Ave, Pueblo, CO 81004-3597

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