Updated January 31, 2017. Dark spots, also known as hyperpigmentation and age spots, are a common skin problem that grows increasingly more common with age. They can be frustrating to deal with as they seemingly appear out of nowhere, and they can also be a somewhat embarrassing indicator of age.
Scope of practice guidelines for advanced nursing professions varies by state. Currently, 21 states and the District of Columbia have approved âfull practiceâ status for Nurse Practitioners, allowing them to assess, diagnose, interpret diagnostic tests, and prescribe medications independently.
For 2010 sessions, at least ten states enacted legislation to establish, expand or change provider taxes and fees. For 2010, new or expanded health provider or hospital fees or taxes were considered in Arkansas, Michigan, Oklahoma, Vermont, and Washington. The full list is in Table 1 below.