Nurse practitioner dea application

    • [DOCX File]2

      https://info.5y1.org/nurse-practitioner-dea-application_1_8120ab.html

      Apr 30, 2019 · PRACTITIONER CREDENTIALING APPLICATION: San Diego County Mental Health Plan for Medi-Cal Network. and/or TERM – 04/30/2019. ... Psychiatric Nurse Practitioner - (with prescriptive Authority) ... Current and valid Drug Enforcement Agency Certificate (DEA…

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    • [DOCX File]FORM D: APPLICANT READINESS - Texas Health and Human ...

      https://info.5y1.org/nurse-practitioner-dea-application_1_4b7a82.html

      Provide DATA 2000 Waiver for each prescribing Physician, prescribing Nurse Practitioner, and prescribing Physician Assistant under this Open Enrollment . Provide Proof of DEA Special Identification Number for each prescribing Physician, prescribing Nurse Practitioner…

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    • [DOCX File]Collaborative Practice Agreement for Nurse Practitioner ...

      https://info.5y1.org/nurse-practitioner-dea-application_1_db7d16.html

      Proof of a current DEA number. A copy of the collaborative practice agreement. The nurse practitioner will maintain documentation of completing 50 contact hours each year of AMA or ANCC approved …

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    • [DOCX File]Texas Health and Human Services

      https://info.5y1.org/nurse-practitioner-dea-application_1_84ab97.html

      Each Enrollment Application Must Contain the Following Items. ... DATA 2000 Waiver for each prescribing Physician, prescribing Nurse Practitioner, and prescribing Physician Assistant under this Open Enrollment ... Proof of DEA Special Identification Number for each prescribing Physician, prescribing Nurse Practitioner…

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