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Contact Information

BRYAN WIEDERHOLT, DNAP, CRNA
1800 W. CHARLESTON BLVD.
LAS VEGAS, NV89102
 Phone: 702-383-2000
 Fax: 702-383-3620
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for BRYAN WIEDERHOLT · (Male)

NPI Number 1740953488
Status Active
Credentials DNAP, CRNA
Entity Individual
Enumeration date 07/28/2021
Last updated 03/03/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NV License # 845062
Hospital affiliation(s)
  • CENTENNIAL HILLS HOSPITAL MEDICAL CENTER - (Acute Care)
    6900 N DURANGO DR
    LAS VEGAS, NV 89149
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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