Brent Wiederholt, NP-C is a family nurse practitioner in Fort Yates, ND with 9 years of experience. Brent Wiederholt, NP-C NPI is 1588825723. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
N10 NORTH RIVER ROAD
FORT YATES, ND
ZIP 58538
Phone: (701) 854-3831
The NPI 1588825723 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/20/2008 and was last updated on 7/23/2015.