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Op.nysed.gov Nurse Practitioner Form 4NP Approved Date Verification of Collaborative Agreement and Practice Protocol Applicant Instructions Complete Section I. Be sure to sign and date item 4 in Section III. Note Form 4NP is not required to obtain a certificate but must be submitted to the Office of the Professions no later than 90 days after commencement of practice. This submission to the Department is only required once. Section I Applicant In.

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