Name | Value |
---|---|
PROVIDER TYPE | Nursing Service Providers |
CLASSIFICATION | Registered Nurse |
AREA OF SPECIALIZATION | Flight |
STATUS | Active |
VA CODE | V070913 |
X12 CODE | 163WF0300X |
INDIVIDUAL/NON | INDIVIDUAL |
MASTER ENTRY FOR VUID | YES |
VUID | 5252909 |
EFFECTIVE DATE/TIME |
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