IndividualActive
Bryan Wiederholt, DNAP, CRNA
NPI 1740953488 · Certified Registered Nurse Anesthetist · Las Vegas, NV
Provider details
- NPI number
- 1740953488
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNAP, CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 845062 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1800 W. Charleston Blvd.
Las Vegas, NV 89102
Phone: (702) 383-2000
Fax: (702) 383-3620
Approximate (ZIP-level) locationGet directions
Mailing address
1800 W. Charleston Blvd.
Las Vegas, NV 89102
Registry dates
- Enumerated
- 2021-07-28
- Last updated
- 2023-03-03
- Certified
- 2023-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.