person
Brent Wiederholt, NP-C
Family Nurse Practitioner in Fort Yates, North Dakota
NPI 1588825723

Brent Wiederholt is a Family Nurse Practitioner based in Fort Yates, ND and is specialized in Family. Brent Wiederholt practices in Fort Yates, ND and has the professional credentials of NP-C. The NPI Number for Brent Wiederholt is 1588825723 and holds a License No. R033677 (North Dakota).

The current practice location address for Brent Wiederholt is N10 North River Road, Fort Yates, ND and can be reached out via phone at 701-854-3831.

Location: N10 North River Road, Fort Yates, ND, 58538-0527
person
Provider Profile Details
NPI Number
1588825723
Provider Name
Brent Wiederholt
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
N10 North River Road, Fort Yates, ND, 58538-0527
Phone Number
701-854-3831
Fax Number
Provider Enumeration Date
06/20/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
N10 North River Road
City
State
Zip
58538
Phone Number
701-854-3831
Fax Number
person
Provider Business Mailing Address Details
Address
N10 North River Road
City
State
Zip
58538
Phone Number
701-854-3831
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
License No.
SD-CNP CP000967 (South Dakota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R033677 (South Dakota)
Definition
Definition to come...
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