Stidolph, Candace Marie

Stidolph, Candace Marie is an individual health care provider with primary practice located at 413 S 21St St , Laramie WY 82070-4323. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stidolph, Candace Marie can be contacted via phone (307) 745-5364.

Contact Information

Primary practice address
413 S 21St St Laramie WY 82070-4323
Phone: (307) 745-5364
Fax: (307) 745-4164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X Wyoming

Profile Details

NPI number 1699983460
LBN Legal business name Stidolph, Candace Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Apr 11th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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