Physician Assistants & Advanced Practice Nursing Providers (553) PERSON CLASS (8932.1)
Name
Value
PROVIDER TYPE
Physician Assistants & Advanced Practice Nursing Providers
CLASSIFICATION
Clinical Nurse Specialist
AREA OF SPECIALIZATION
Occupational Health
STATUS
Active
VA CODE
V100318
X12 CODE
364SX0106X
SPECIALTY CODE
89
INDIVIDUAL/NON
INDIVIDUAL
MASTER ENTRY FOR VUID
YES
VUID
5253500
EFFECTIVE DATE/TIME
2018-04-02 15:34:56
STATUS: ACTIVE
