Individual
DR. BRYAN WIEDERHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNAP, CRNA
Contact information
Practice address
1800 W. CHARLESTON BLVD., LAS VEGAS, NV 89102
(702) 383-2000
(702) 383-3620
Mailing address
1800 W. CHARLESTON BLVD., LAS VEGAS, NV 89102
(702) 383-2000
(702) 383-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
845062
NV
Other
Enumeration date
07/28/2021
Last updated
03/03/2023
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