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Enrollment Information. practitioners in Pennsylvania must be licensed and currently registered by the appropriate state Online Provider Enrollment Application. Here is a complete list of accredited physician assistant programs in Pennsylvania, with related information. Search Category. Home; Application Deadline: October 1

INSTRUCTIONS FOR COMPLETION OF PENNSYLVANIA PROMISe™ PROVIDER ENROLLMENT GROUP APPLICATION. (e.g., provider type 31, Physician). APPLICATION FOR CHANGE OR ADDITION OF SUPERVISING PHYSICIAN FOR PHYSICIAN ASSISTANTS State Form 42907 Physician Assistant license number No

Answer: To begin the process you will download an application packet (PA Application - fillable) or (PA Application - non-fillable). You will be asked to complete Online Application Instructions for an Initial Physician Assistant License. The Physician Assistant Board will expedite the licensing process with the required

List of Licensing Boards Pennsylvania. Board of Medicine, PO Box 2649, Physician Assistant Licensing Board, medical physician assistant, and licensed nurse-midwife applications and renewals submitted after july 1, 2017 (pdf)

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