Individual
DR. CANDACE MARIE TULL
Active
Individual
DR. CANDACE MARIE TULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, WHCNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
30706.1178
WY
Other
Enumeration date
09/14/2006
Last updated
06/06/2014
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