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

Shannon Waldon, CSA

Individual provider Surgical Technologist · NPI 1336555051

Shannon Waldon, CSA is a Surgical Technologist in Herrin, Illinois. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2014

Practice location Address checks out

510 Lincoln Dr
Herrin, IL 62948-6334
Phone: (618) 997-6800
Fax: (618) 997-1187
Show map & directions

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

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X · Licence 4393 (KY)

Record details

NPI number1336555051
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSA
Sole proprietorYes
NPI enumeratedJuly 2, 2014
Last updated in NPPESSeptember 9, 2014