Physician Assistants & Advanced Practice Nursing Providers (666)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Physician Assistants & Advanced Practice Nursing Providers
CLASSIFICATION Nurse Practitioner
AREA OF SPECIALIZATION Obstetrics & Gynecology
STATUS Active
VA CODE V100609
X12 CODE 363LX0001X
SPECIALTY CODE 50
INDIVIDUAL/NON INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5253401
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:03
    STATUS:   ACTIVE