Physician Assistants & Advanced Practice Nursing Providers (565) PERSON CLASS (8932.1)
Name
Value
PROVIDER TYPE
Physician Assistants & Advanced Practice Nursing Providers
CLASSIFICATION
Nurse Practitioner
AREA OF SPECIALIZATION
Women's Health
STATUS
Active
VA CODE
V100618
X12 CODE
363LW0102X
SPECIALTY CODE
50
INDIVIDUAL/NON
INDIVIDUAL
MASTER ENTRY FOR VUID
YES
VUID
5253398
EFFECTIVE DATE/TIME
2018-04-02 15:35:01
STATUS: ACTIVE
