Nursing Service Providers (310) PERSON CLASS (8932.1)
Name
Value
PROVIDER TYPE
Nursing Service Providers
CLASSIFICATION
Registered Nurse
AREA OF SPECIALIZATION
Ophthalmic
STATUS
Active
VA CODE
V070936
X12 CODE
163WX1100X
INDIVIDUAL/NON
INDIVIDUAL
MASTER ENTRY FOR VUID
YES
VUID
5253035
EFFECTIVE DATE/TIME
2018-04-02 15:35:13
STATUS: ACTIVE
