# CAROLYN M VALOIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558517300
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 10001024A | IN | Yes |

## Other

- **Enumeration date:** 08/13/2008
- **Last updated:** 12/02/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000636955 | ANTHEM BLUE CROSS BLUE SHIELD | IN |
| 05 | — | 300006683 | — | IN |
| 01 | — | P01192139 | RR MEDICARE PTAN | IN |