Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CAROL ANN BOLT, PA
ActiveMRS. CAROL ANN BOLT, PA is a Physician Assistant healthcare provider located in BLAINE, Washington. NPI 1265468425 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BLAINE, WA
Registration Details
- NPI Number
- 1265468425
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2006 (20.125573199491 yrs)
- Last Updated
- Dec 4, 2025
- Licenses
-
000102439 (NC)PA0004322 (CO)61678220 (WA)
Practice Information
- Address
-
4519 GRANDVIEW RDBLAINE, WA, 982309640Browse WA providers · Browse ZIP 98230
- Phone
- 3603711307
- Fax
- 3603710276
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in BLAINE, WA
| Name | Credential | NPI |
|---|---|---|
| JOSEPH BANHAM | — | 1659980720 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.