Nursing Service Providers (303) PERSON CLASS (8932.1)
Name
Value
PROVIDER TYPE
Nursing Service Providers
CLASSIFICATION
Registered Nurse
AREA OF SPECIALIZATION
Nephrology
STATUS
Active
VA CODE
V070929
X12 CODE
163WN0300X
INDIVIDUAL/NON
INDIVIDUAL
MASTER ENTRY FOR VUID
YES
VUID
5252960
EFFECTIVE DATE/TIME
2018-04-02 15:35:17
STATUS: ACTIVE