Brent Wiederholt is a Family in Fort Yates, North Dakota. Brent Wiederholt practices all healthcare services and medical treatments related to Family. The NPI Number for Brent Wiederholt is 1588825723. The last update date is 2015-07-23.
Brent Wiederholt's current location address is Po Box J, Fort Yates, North Dakota. You can contact this provider via phone number 7018543831. The mailing address for Brent Wiederholt is Po Box J, Fort Yates, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Wiederholt |
|---|---|
| Address | Po Box J, Fort Yates, North Dakota |
| Phone Number | 7018543831 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP-C |
NPI Number Detail
| NPI Number | 1588825723 |
|---|---|
| Provider Enumeration Date | 2008-06-20 |
| Last Updated Date | 2015-07-23 |
Provider Mailing Address Detail
| Address | Po Box J |
|---|---|
| City | Fort Yates |
| State | North Dakota (ND) |
| Post Code | 585380527 |
| Phone Number | 7018543831 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | SD-CNP CP000 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Brent Wiederholt?
The Brent Wiederholt has been issued the NPI (National Provider Identifier) 1588825723 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Brent Wiederholt located?
The Brent Wiederholt is located at Po Box J, Fort Yates, ND 585380527.
What is the Brent Wiederholt's area of specialization and corresponding taxonomy classification?
The Brent Wiederholt's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Brent Wiederholt receive the assignment of its 1588825723 from the Centers for Medicare & Medicaid Services?
The Brent Wiederholt was issued its 1588825723 by the Centers for Medicare & Medicaid Services on 2008-06-20.
As of what date were the details pertaining to Brent Wiederholt last refreshed?
The information related to the Brent Wiederholt, including its address, specialty, and other relevant details, was last updated on 2015-07-23.