Nursing Service Providers (286) PERSON CLASS (8932.1)
Name
Value
PROVIDER TYPE
Nursing Service Providers
CLASSIFICATION
Registered Nurse
AREA OF SPECIALIZATION
Enterostomal Therapy
STATUS
Active
VA CODE
V070912
X12 CODE
163WE0900X
INDIVIDUAL/NON
INDIVIDUAL
MASTER ENTRY FOR VUID
YES
VUID
5252906
EFFECTIVE DATE/TIME
2018-04-02 15:35:28
STATUS: ACTIVE