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

Shannon Lea Waddell

Individual provider Personal Care Attendant · NPI 1902628704

Shannon Lea Waddell is a Personal Care Attendant in Gap Mills, West Virginia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

9433 Moncove Lake Rd
Gap Mills, WV 24941-5618
Phone: (304) 647-8408
Show map & directions

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

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1902628704
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 31, 2024
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024

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