Individual provider · Type 1 NPI

Candace Marie Tull, PhD, WHCNP

Women's Health Nurse Practitioner · Etna, WY

NPI number 1811092810 Active

Practice location

107736 Hwy 89
Etna, WY 83118

Call (210) 215-5222 Map

Mailing address

HC 62 Box 7466
Star Valley Ranch, WY 83127-7004

Specialties and licenses

Taxonomy	Code	License
Women's Health Nurse Practitioner Primary	363LW0102X	30706.1178 (WY)

Women's Health Nurse Practitioner: Definition to come...

About NPI 1811092810

Candace Marie Tull, PhD, WHCNP's National Provider Identifier is 1811092810, issued on Sep 14, 2006. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Etna, WY. The record was last updated on Jun 6, 2014.