Candace Marie Tull PHD, WHCNP

NPI 1811092810 - Nurse Practitioner - 363LW0102X

NPI Details
NPI 1811092810
Gender Female
Enumeration Date 09/14/2006
Last Updated 06/06/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
107736 HWY 89
ETNA WY, 83118, US
Phone (210) 215-5222
Fax
Business Location
HC 62 BOX 7466
STAR VALLEY RANCH WY, 83127-7004, US
Phone (210) 215-5222
Fax
Toxanomy
Taxonomy Code 363LW0102X
License State Wyoming
License Number 30706.1178
Remove 1811092810 NPI Number
 

According to our database, Dr. Candace Marie Tull PHD, WHCNP NPI is 1811092810, taxonomy code is 363LW0102X and license number is 30706.1178, license state is located at Wyoming. Candace Marie Tull PHD, WHCNP physically located at 107736 Hwy 89, Etna WY, 83118. NPI Number Candace Marie Tull PHD, WHCNP has the Individual type.

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1811092810 NPI number is provided on an as is basis without warranty of any kind. 1811092810 is maintained by the National Plan & Provider Enumeration System. The contents of Candace Marie Tull PHD, WHCNP are for informational purposes only.