Physician Assistants & Advanced Practice Nursing (561) PERSON CLASS (8932.1)

Name	Value
PROVIDER TYPE	Physician Assistants & Advanced Practice Nursing
CLASSIFICATION	Nurse Practitioner
AREA OF SPECIALIZATION	Pediatrics: Acute Care
STATUS	Inactive
DATE INACTIVATED	2005-11-15 00:00:00
VA CODE	V100612
INDIVIDUAL/NON	INDIVIDUAL
MASTER ENTRY FOR VUID	YES
VUID	5253323
EFFECTIVE DATE/TIME	2018-04-02 15:35:33 STATUS: INACTIVE