Other Service (1312)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Other Service
CLASSIFICATION Registered Nurse
STATUS Inactive
DATE INACTIVATED 2018-04-02 00:00:00
VA CODE V082200
X12 CODE 173W00000X
MASTER ENTRY FOR VUID YES
VUID 5253143
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:39
    STATUS:   INACTIVE