Physician Assistants & Advanced Practice Nursing Providers (566) PERSON CLASS (8932.1)
Name
Value
PROVIDER TYPE
Physician Assistants & Advanced Practice Nursing Providers
CLASSIFICATION
Nurse Practitioner
AREA OF SPECIALIZATION
Occupational Health
STATUS
Active
VA CODE
V100610
X12 CODE
363LX0106X
SPECIALTY CODE
50
INDIVIDUAL/NON
INDIVIDUAL
MASTER ENTRY FOR VUID
YES
VUID
5253404
EFFECTIVE DATE/TIME
2018-04-02 15:35:07
STATUS: ACTIVE
