Nursing Service Providers (318)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Nursing Service Providers
CLASSIFICATION Registered Nurse
AREA OF SPECIALIZATION Dialysis, Peritoneal
STATUS Active
VA CODE V070944
X12 CODE 163WD1100X
INDIVIDUAL/NON INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5252900
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:25
    STATUS:   ACTIVE