Non-Physician Clinician (Mid-level) Re-Credentialing Checklist
Board Certification (CNM, NP and Lactation ONLY) or PA Certification. Source: AMCB ANCC AANP NCCPA. File Release (Malpractice History) Application Signature Date: _____ Provider name on bottom of every page of app? Y. or. N. Attestation Questions *compare to … ................
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