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
