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NPI Profile for JENNIFER R WIEDERHOLD in LINCOLN, MT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1447836929 |
|
| Status | Active | |
| Credentials | APRN (Advanced Practice Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 03/23/2021 | |
| Last updated | 09/18/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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JENNIFER R WIEDERHOLD, APRN