IndividualActive
Candace Tull, PHD, WHCNP
NPI 1811092810 · Women's Health Nurse Practitioner · Etna, WY
Provider details
- NPI number
- 1811092810
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHD, WHCNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 30706.1178 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
107736 Hwy 89
Etna, WY 83118
Phone: (210) 215-5222
Approximate (ZIP-level) locationGet directions
Mailing address
Hc 62 Box 7466
Star Valley Ranch, WY 83127-7004
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2014-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.