Physician Assistants & Advanced Practice Nursing Providers (541)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Physician Assistants & Advanced Practice Nursing Providers
CLASSIFICATION Clinical Nurse Specialist
AREA OF SPECIALIZATION Psychiatric/Mental Health, Adult
STATUS Active
VA CODE V100325
X12 CODE 364SP0809X
SPECIALTY CODE 89
INDIVIDUAL/NON INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5253467
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:23
    STATUS:   ACTIVE