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Carol Valdez, NP
Student in an Organized Health Care Education/Training Program in Mishawaka, Indiana
NPI 1376948547

Carol Valdez is a Student in an Organized Health Care Education/Training Program based in South Bend, IN. Carol Valdez practices in Mishawaka, IN and has the professional credentials of NP. The NPI Number for Carol Valdez is 1376948547 and holds a License No. 28181527A (Indiana).

The current practice location address for Carol Valdez is 60101 Bodnar Blvd, Mishawaka, IN and can be reached out via phone at 574-335-8500 and via fax at 574-335-0794. You can also correspond with Carol Valdez through the mailing address at 707 E CEDAR ST, SOUTH BEND, IN - 46617-2057 (mailing address contact number: 574-335-8700).

Location: 60101 Bodnar Blvd, Mishawaka, IN, 46617-2057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376948547
Provider Name
Carol Valdez
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
60101 Bodnar Blvd, Mishawaka, IN, 46617-2057
Phone Number
574-335-8500
Fax Number
574-335-0794
Provider Enumeration Date
10/29/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000919791 01 IN BCBS
201281160 05 IN
institution
Provider Business Practice Location Address Details
Address
60101 Bodnar Blvd
City
Mishawaka
State
Indiana
Zip
46544-9328
Phone Number
574-335-8500
Fax Number
574-335-0794
person
Provider Business Mailing Address Details
Address
707 E Cedar St
City
South Bend
State
Indiana
Zip
46617-2057
Phone Number
574-335-8700
Fax Number
574-335-0760
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
163WE0003X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71005360 (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
28181527A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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