Other Service (680)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Other Service
CLASSIFICATION Registered Nurse
STATUS Inactive
DATE INACTIVATED 2005-11-15 00:00:00
VA CODE V082200
INDIVIDUAL/NON INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5253140
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:53
    STATUS:   INACTIVE