Find my nursing license number
3 Ways to Find Your RN License Number - wikiHow
7. R.N. License Number_____ 8. Area of Clinical Specialty ( Ambulatory Care ( Hospital Nursing. 9. Classification ( Regular ( Short Hour ( Per Diem. Average Number of Hours Worked Per Week _____ (Use Verification of Hours Paid form if needed)
[DOC File]Cover letter – Initial Applications
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From: Francine Y. Greer, Administrative Assistant Your nurse aide certificate has been expired for more than 90 days. In order to reinstate, you must complete the enclosed reinstatement application and return it along with the required $50 fee (check or money order made payable to the “Treasurer of Virginia).
[DOC File]ahca.myflorida.com
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Average Number of Hours Worked Per Week_____ (Use Verification of Hours Paid form if needed) (It is the nurse’s responsibility to notify the Facility Selection Committee if hours drop below 24 hours)
[DOC File]VERIFICATION OF SOCIAL SECURITY NUMBERS
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Please list the name, license number and address of all other health care provider types operated by this owner: Type of Provider Name of Provider City Home Health Agency Hospital Nursing Home Laboratory Home Medical Equipment Nurse Registry Other Health Care Services Pools Other (please specify) 11. Attestation. I, _____, under penalty of ...
[DOC File]PREPARED FOR THE STAFF NURSES OF THE
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The Applicant will be assigned a new nursing home license number and a new Medicaid vendor number on the date the change of ownership is effective. STATE OF WASHINGTON. DEPARTMENT OF SOCIAL AND HEALTH SERVICES. Aging and Long-Term Support Administration. PO Box 45600, Olympia, Washington 98504-5600.
[DOC File]PREPARED FOR THE STAFF NURSES OF THE
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fees are determined by the number of licensed beds at the facility: For change of owner or change of management, the fees are as follows: 1 to 15 beds, $1,000; 16 to 49 beds, $1,500; 50 to 99 beds, $2,000; 100 to 150 beds, $2,500; 151 or more beds, $3,000.
[DOC File]The Agency For Health Care Administration
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School records, such as paid fee statements that show a sufficient number of credits to be considered a full-time student by the educational institution attended. Immigration Status. Verification of eligible immigration status must be received from DHS through the DHS SAVE system or through secondary verification using DHS Form G-845.
Nursing: Application for Registration by Examination ...
A driver’s license. Identification card issued by a federal, state, or local agency. Identification card issued by a medical insurance company or provider (including Medicare and Medicaid). Identification card issued by an employer or trade union. Benefit award letters from government agencies. Retirement benefit letter. Life insurance policies
[DOCX File]Owner .or.us
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Jul 01, 2007 · Board of Nursing at DHP. Perimeter Center. 9960 Mayland Drive, Suite 300. Henrico, Virginia 23233-1463. You may find all forms, regulations, candidate brochure (from PSI, the testing company), and FAQs (frequently asked questions) on our website at www.dhp.virginia.gov. COMMONWEALTH OF VIRGINIA. Board of Nursing. Department of Health Professions
[DOC File]Exhibit 5-3: Acceptable Forms of Verification
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AUTHORITY: In accordance with Section 429.11(1), Florida Statutes (F.S.) each assisted living facility must identify the administrator of the facility and each facility that he/she currently operates.The law also requires the collection of the administrator’s social security number. Facility Information ALF License #: Assisted Living Facility Name
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