Individual
MRS. CANDACE MARIE STIDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
413 S 21ST ST, LARAMIE, WY 82070-4323
(307) 745-5364
(307) 745-4164
Mailing address
413 S 21ST ST, LARAMIE, WY 82070-4323
(307) 745-5364
(307) 745-4164
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
WY
Other
Enumeration date
05/17/2007
Last updated
04/11/2008
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