Dr Candace Marie Tull, PHD, WHCNP is a
Nurse Practitioner - Women's Health based in Etna, Wyoming. Dr Candace Marie Tull is licensed to practice in Wyoming (license number 30706.1178) and her current practice location is
107736 Hwy 89, Etna, Wyoming. She can be reached at her office (for appointments etc.) via phone at
(210) 215-5222.
NPI number for Dr Candace Marie Tull is 1811092810 and her current mailing address is Hc 62 Box 7466, Star Valley Ranch, Wyoming. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811092810.
Provider's Profile
Full Name | Dr Candace Marie Tull |
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Gender | Female |
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Speciality | Nurse Practitioner - Women's Health |
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Location | 107736 Hwy 89, Etna, Wyoming |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811092810
- Provider Enumeration Date: 09/14/2006
- Last Update Date: 06/06/2014
Medical Identifiers
Medical identifiers for Dr Candace Marie Tull such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811092810 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LW0102X | Nurse Practitioner - Women's Health | 30706.1178 (Wyoming) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Candace Marie Tull is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Candace Marie Tull, PHD, WHCNP Hc 62 Box 7466, Star Valley Ranch, WY 83127-7004 Ph: (210) 215-5222 | Dr Candace Marie Tull, PHD, WHCNP 107736 Hwy 89, Etna, WY 83118 Ph: (210) 215-5222 |
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