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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENT WIEDERHOLT, NP-C

Active

BRENT WIEDERHOLT, NP-C is a Family Nurse Practitioner healthcare provider located in FORT YATES, North Dakota. NPI 1588825723 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · FORT YATES, ND

Registration Details

NPI Number
1588825723
Provider Type
Individual
Gender
Male
NPI Issued
Jun 20, 2008 (18.122968059797 yrs)
Last Updated
Jul 23, 2015
Licenses
R033677 (SD)
SD-CNP CP000967 (SD)

Practice Information

Address
N10 NORTH RIVER ROAD
FORT YATES, ND, 58538
Browse ND providers · Browse ZIP 58538
Phone
7018543831
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in FORT YATES, ND

Name Credential NPI
ROBBI ALLYN YELLOW NP 1558522797
CHRISTINE E ROSHEIM ARNP 1861831877
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.