092 – Family Nurse Practitioner. 093 – Nurse Practitioner (other) 094 – Certified Registered Nurse Anesthetist (CRNA) 095 – Certified Nurse Midwife Billing Provider Application. Provider Agreement. Copy of license from the Health Professions Bureau (HPB) Copy of the Nurse Practitioner (NP) certification from accredited NP certifying ... ................
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