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Dr. Candace Marie Tull, PHD,WHCNP
Women's Health Nurse Practitioner in Etna, Wyoming
NPI 1811092810

Candace Marie Tull is a Women's Health Nurse Practitioner based in Star Valley Ranch, WY and is specialized in Women's Health. Candace Marie Tull practices in Etna, WY and has the professional credentials of PHD,WHCNP. The NPI Number for Candace Marie Tull is 1811092810 and holds a License No. 30706.1178 (Wyoming).

The current practice location address for Candace Marie Tull is 107736 Hwy 89, Etna, WY and can be reached out via phone at 210-215-5222.

Location: 107736 Hwy 89, Etna, WY, 83127-7004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811092810
Provider Name
Candace Marie Tull
Credential
PHD,WHCNP
Provider Entity Type
Individual
Gender
Female
Address
107736 Hwy 89, Etna, WY, 83127-7004
Phone Number
210-215-5222
Fax Number
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
107736 Hwy 89
City
Etna
State
Wyoming
Zip
83118
Phone Number
210-215-5222
Fax Number
person
Provider Business Mailing Address Details
Address
107736 Hwy 89
City
Etna
State
Wyoming
Zip
83118
Phone Number
210-215-5222
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
363LW0102X
License No.
30706.1178 (Wyoming)
Definition
Definition to come...
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