Individual
MS. THERESA WIEDERHOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5921 N MARKET ST, SPOKANE, WA 99208-2484
(509) 487-1604
(509) 482-6286
Mailing address
203 N WASHINGTON ST STE 300, SPOKANE, WA 99201-0233
(509) 444-8888
(509) 444-7806
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30006019
WA
Other
Enumeration date
09/01/2005
Last updated
01/11/2012
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