DR. CANDACE MARIE TULL


Address: 107736 Hwy 89, Etna, WY 83118
Phone: 2102155222

DR. CANDACE MARIE TULL (NPI# 1811092810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811092810
Entity Type Individual
Full Name DR. CANDACE MARIE TULL
Credential PHD, WHCNP
Practice Address 107736 Hwy 89
Etna
WY 83118
Mailing Address Hc 62 Box 7466
Star Valley Ranch
WY 83127-7004
Practice Telephone 2102155222
Mailing Telephone 2102155222
Enumeration Date 2006-09-14
Last Update Date 2014-06-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
30706.1178 WY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 107736 HWY 89
City ETNA
State WY
Zip Code 83118

Providers in the same city

NPI Name Taxonomy Address Enumeration
1851992283 Linda D Osborne Homemaker 57 Georgian Dr Sw, Etna, OH 43068-3806 2020-11-03
1871190165 Leroy Harlan Haugen Home Health Aide 126 Deer Path Ct, Etna, OH 43062-6004 2020-10-08
1013523968 Victoria Sekou-mamadou In Home Supportive Care 7610 Palmer Rd Sw, Etna, OH 43062-9024 2020-09-16
1861019127 Kristin M Schemine Dentist 1028 Columbus St, Etna, OH 43018-9015 2020-07-02
1023639168 Jodi C Neff Driver 104 East Ave, Etna, OH 43062 2020-04-29
1093348294 Aja Monique Watson Nurse Practitioner 120 Copland Dr, Etna, OH 43062-7674 2020-02-15
1245871144 Laurie Sweezey Technician 2918 Island Rd, Etna, CA 96027-9701 2019-10-01
1578124699 Allison Dietz Social Worker 11 Burreed Ct, Etna, OH 43062-9638 2019-06-28
1114583515 Michael Caruso Contractor 19 Burreed Ct, Etna, OH 43062-9638 2019-05-13
1275199788 Terrell Hudson Case Manager/Care Coordinator 276 Glen Crossing Dr, Etna, OH 43062-7138 2019-05-10
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1386623239 Nancy Jane Potter Nurse Practitioner 1915 Oxford Lane, Suite 101, Casper, WY 82604 2006-01-10
1104366806 Leah M Albrecht Nurse Practitioner 1304 W 4th St, Gillette, WY 82716-3330 2017-02-28
1396167508 Judy Nicksich Nurse Practitioner 333 Broadway St, Ste. 120, Rock Springs, WY 82901-6243 2014-01-08
1093147787 Cathy Berens, PC Nurse Practitioner 940 East 3rd Street, Suite 107, Casper, WY 82601-3200 2013-08-05
1467764019 Jacqueline Gale Retherford Nurse Practitioner 111 S 5th St, Douglas, WY 82633-2434 2010-07-12
1346481389 Maryellen Agnes Riley Nurse Practitioner 1252 N 22nd St Unit A, Laramie, WY 82072 2009-03-22
1679772677 Becky Lynn Olson Nurse Practitioner 1333 W 5th St, Ste 210, Sheridan, WY 82801-2752 2007-07-11
1902850464 Ruth C Zebroski Nurse Practitioner 1460 Main St, Lander, WY 82520-2657 2006-05-20
1265497184 Linda Arlene Thyfault Nurse Practitioner 100 Central Ave, Cheyenne, WY 82007-1330 2006-04-20
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Competitor

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City ETNA
Zip Code 83118

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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