Physician Assistants & Advanced Practice Nursing Providers (539)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Physician Assistants & Advanced Practice Nursing Providers
CLASSIFICATION Clinical Nurse Specialist
AREA OF SPECIALIZATION Pediatrics
STATUS Active
VA CODE V100321
X12 CODE 364SP0200X
SPECIALTY CODE 89
INDIVIDUAL/NON INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5253458
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:30
    STATUS:   ACTIVE