Nursing Service Providers (298) PERSON CLASS (8932.1)
Name
Value
PROVIDER TYPE
Nursing Service Providers
CLASSIFICATION
Registered Nurse
AREA OF SPECIALIZATION
Lactation Consultant
STATUS
Active
VA CODE
V070924
X12 CODE
163WL0100X
INDIVIDUAL/NON
INDIVIDUAL
MASTER ENTRY FOR VUID
YES
VUID
5252939
EFFECTIVE DATE/TIME
2018-04-02 15:34:57
STATUS: ACTIVE
