Physician Assistants & Advanced Practice Nursing Providers (554) PERSON CLASS (8932.1)
Name
Value
PROVIDER TYPE
Physician Assistants & Advanced Practice Nursing Providers
CLASSIFICATION
Clinical Nurse Specialist
AREA OF SPECIALIZATION
Oncology
STATUS
Active
VA CODE
V100319
X12 CODE
364SX0200X
SPECIALTY CODE
89
INDIVIDUAL/NON
INDIVIDUAL
MASTER ENTRY FOR VUID
YES
VUID
5253503
EFFECTIVE DATE/TIME
2018-04-02 15:35:36
STATUS: ACTIVE