| Name | Value |
|---|---|
| PROVIDER TYPE | Nursing Service Providers |
| CLASSIFICATION | Licensed Practical Nurse |
| DEFINITION | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| STATUS | Active |
| VA CODE | V070804 |
| X12 CODE | 164W00000X |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5253041 |
| EFFECTIVE DATE/TIME |
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