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

Mrs. Shaunda Lyn Waddle, CSFA

Individual provider Surgical Assistant · NPI 1366101784

Mrs. Shaunda Lyn Waddle, CSFA is a Surgical Assistant in Cheyenne, Wyoming. Practices as a sole proprietor. Licensed in Wyoming.

Licensed in
WY
In the registry since
2021
Specialties on file
2

Practice location Address checks out

5001 Opal Dr
Cheyenne, WY 82009-5693
Phone: (307) 214-6537
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Surgical Assistant Taxonomy 246ZC0007X · Licence 206758 (WY)

Record details

NPI number1366101784
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSFA
Sole proprietorYes
NPI enumeratedDecember 13, 2021
Last updated in NPPESJanuary 6, 2022
Certification dateJanuary 6, 2022

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