Physician Assistants & Advanced Practice Nursing Providers (557)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Physician Assistants & Advanced Practice Nursing Providers
CLASSIFICATION Nurse Practitioner
AREA OF SPECIALIZATION Critical Care Medicine
STATUS Active
VA CODE V100604
X12 CODE 363LC0200X
SPECIALTY CODE 50
INDIVIDUAL/NON INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5253362
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:33
    STATUS:   ACTIVE