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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.
APRN practice is typically defined by the Nurse Practice Act and governed by the Board of Nursing, but other laws and regulations may impact practice, and other boards may play a role. For instance, in some states nurse-midwives are regulated by a Board of Midwifery or public health.n addition, in some states, the CNS category is not identified in the Nurse Practice Act, which means the CNS is held to the same scope of practice as any registered nurse within the state. The scope of practice for CRNAs is fairly standard, but is not evident in statute in all states.