Valdez, Carol

Valdez, Carol is an individual health care provider with primary practice located at 60101 Bodnar Blvd Suite B, Mishawaka IN 46544-9328. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Valdez, Carol can be contacted via phone (574) 335-8500.

Contact Information

Primary practice address
60101 Bodnar Blvd Suite B Mishawaka IN 46544-9328
Phone: (574) 335-8500
Fax: (574) 335-0794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 28181527A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71005360 Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1376948547
LBN Legal business name Valdez, Carol
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2014
Last updated Feb 9th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376948547 NPPES
Indiana Other 000000919791 BCBS
Indiana MEDICAID 201281160 BCBS

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