DR. CANDACE MARIE TULL PHD, WHCNP
NPI 1811092810
Nurse Practitioner - Women's Health in Etna, WY

Q: What is Candace Tull's NPI number?

The NPI number for Candace Tull is 1811092810. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Q: What is Candace Tull's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Candace Tull was last updated on June 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 14, 2006

107736 HWY 89, ETNA, WY 83118(210) 215-5222 Get Directions Write a Review

NPPES record last updated: June 6, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Candace Marie Tull Phd, Whcnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CANDACE MARIE TULL PHD, WHCNP (NPI 1811092810) is an individual women's health provider in Etna, Wyoming, licensed in Wyoming (30706.1178) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1811092810

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameDR. CANDACE MARIE TULLCredential: PHD, WHCNP

Location Address107736 HWY 89Etna, WY 83118

Mailing AddressHc 62 Box 7466Star Valley Ranch, WY 83127-7004 · (210) 215-5222

Phone(210) 215-5222

Sole ProprietorYes

Enumeration DateSeptember 14, 2006

Last NPPES UpdateJune 6, 2014

✔ NPI 1811092810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in WY · 30706.1178

107736 HWY 89, Etna, WY 83118

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candace Tull's NPI number?

The NPI number for Candace Tull is 1811092810. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Candace Tull located?

Candace Tull practices at 107736 Hwy 89, Etna, WY 83118. The listed phone number is (210) 215-5222.

What is Candace Tull's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Candace Tull was last updated on June 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.