Arizona physician assistant license

    • [DOC File]Arizona

      https://info.5y1.org/arizona-physician-assistant-license_1_7f4630.html

      The Arizona Acupuncture Board of Examiners received information on action taken by the Arizona Regulatory Board of Physician Assistants regarding Ms. Sally Van Snepson Barnett. Ms. Van Snepson-Barnett’s Physician Assistant license (#5181) was Inactivated with Cause by the Arizona Regulatory Board of Physician Assistants on September 22, 2015.

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    • [DOCX File]32-2551; Grounds for disciplinary ... - Arizona Legislature

      https://info.5y1.org/arizona-physician-assistant-license_1_55f7ee.html

      A decree of censure is a disciplinary action against the physician assistant's license and may include a requirement for restitution of fees to a patient resulting from violations of this chapter or rules adopted under this chapter. ... If during the course of an investigation the Arizona regulatory board of physician assistants determines that ...

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    • [DOCX File]Program

      https://info.5y1.org/arizona-physician-assistant-license_1_762aec.html

      University Physician shall also promptly notify B–UMG of any disciplinary proceedings involving University Physician that have been, or may be, recommended, taken or filed by any regulatory body, licensing board or health plan, and of any malpractice actions threatened or filed against University Physician, including claims based on alleged ...

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    • [DOCX File]cdn.ymaws.com

      https://info.5y1.org/arizona-physician-assistant-license_1_c63296.html

      1. The physicians who sign this agreement will supervise the physician assistant in accordance with the rules and regulations of the Arizona Regulatory Board of Physician Assistants. The physician assistant agrees to faithfully and to the best of his/her knowledge and skill, to assist the physician…

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    • [DOCX File]APPLICATION TO JOIN THE EQUALITY HEALTH NETWORK

      https://info.5y1.org/arizona-physician-assistant-license_1_164444.html

      CareMore Health Plan of Arizona. ... Delegation Agreement. for each Physician Assistant. General Liability. List of Health . P. lans accepted. Professional Liability Insurance / Certificate of Malpractice Insurance for each Provider. W-9 (must be current) PRACTICE LOCATIONS. ... License Number: ...

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    • [DOC File]ASAPA NEEDS YOU

      https://info.5y1.org/arizona-physician-assistant-license_1_2fdd87.html

      - An affiliate member shall be a health practitioner who is not certified as a Physician Assistant in the State of Arizona. A Supervising Physician would be an example of an Affiliate Member. An affiliate member shall be accorded the privilege of the floor, when recognized, at regular meetings, and of serving on the committees when appointed.

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    • [DOCX File]32-1401; Definitions - Arizona State Legislature

      https://info.5y1.org/arizona-physician-assistant-license_1_9a18fb.html

      "Active license" means a valid and existing license to practice medicine. ... Failing to report in writing to the Arizona medical board or the Arizona regulatory board of physician assistants any evidence that a doctor of medicine or a physician assistant is or may be medically incompetent, guilty of unprofessional conduct or mentally or ...

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    • [DOCX File]The Arizona Board of Athletic Training

      https://info.5y1.org/arizona-physician-assistant-license_1_f8a919.html

      The Board advised that if Mr. Moreno uses his athletic training license to treat patients that he have a formal agreement with a licensed physician. Assistant Attorney General, Sophia Van Langen advised that they follow R4-49-405 of the Arizona Administrative Rules.

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    • CC-039-FF - Arizona

      CC-039-FF (8-15) ARIZONA DEPARTMENT OF ECONOMIC SECURITY . ... TYPE OF HEALTH CARE PROVIDER Physician Physician’s Assistant Registered Nurse Registered Nurse Practitioner *The license or certificate issued by another state or country may not be accepted if it cannot be verified.

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    • CCA-1163A - Arizona

      HEALTH CARE PROVIDER’S ADDRESS (No., Street, City, State, ZIP) PHONE NO. TYPE OF HEALTH CARE PROVIDER Physician Physician’s Assistant Registered Nurse Registered Nurse Practitioner HEALTH CARE PROVIDER’S SIGNATURE DATE *The license or certificate issued by another state or country may not be accepted if it cannot be verified.

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