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One-third of the nation has adopted full practice authority licensure and practice laws for nurse practitioners. These states are: Alaska, Arizona, Colorado, District of Columbia, Hawaii, Idaho, Iowa, Maine, Montana, Oregon, New. Hampshire, New Mexico, North Dakota, Rhode Island, Vermont, Washington, and Wyoming.
In most states, they practice with independent licensure, but in some states they have collaborative agreements with physicians. Nurse practitioners are known as advanced practice nurses (APRNs) and, if they have a Doctorate in Nursing Practice, can be referred to as DNPs. Many NPs serve as primary care providers to adults, children and families. Others specialize in a particular area of medicine, such as psychiatry, dermatology or midwifery.