Nursing Service Providers (315)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Nursing Service Providers
CLASSIFICATION Registered Nurse
AREA OF SPECIALIZATION Pediatrics
STATUS Active
VA CODE V070941
X12 CODE 163WP0200X
INDIVIDUAL/NON INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5252972
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:06
    STATUS:   ACTIVE