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Shannyn Waldron, PA-C

Physician Assistant in South Portland, ME · enumerated 2007 · practices at Intermed, PA.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1730374414

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Registry record

Entity type Individual (Type 1)
Name Shannyn Waldron
Credential PA-C
Sex Female
Practice address 100 Foden Rd, East, Suite 100, South Portland, ME, 04106
Fax (207) 523-8590
Enumeration date Sep 6, 2007
Last updated in NPPES Sep 8, 2016

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA1539 (ME) Primary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA2349 (MA) Secondary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Shannyn Waldron?
The National Provider Identifier (NPI) for Shannyn Waldron is 1730374414, a Type 1 (individual) record in the CMS NPPES registry.
Where does Shannyn Waldron practice?
The practice location on file with NPPES is in South Portland, ME. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-09-08.