Membership Services provides a simple online way to join NADNP as our website and services are being developed. Nurse Practitioners can become first year members at a discounted rate of $60.00, because NADNP is in its initial year of organization.

As the NADNP tools, resources, and services become available, all members will receive email announcements and expanded site access. Membership will entitle you to register for our conferences and workshops at a reduced rate. In addition, only members will have access to the professional discussion blog, expert consultation services, clinical research network, Grants/Awards/Scholarships, and our upcoming peer reviewed professional journal and newsletters.

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Member Name (last, first, middle): *
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E-mail(s): *
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Telephone : Home: Work: Cell:
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NP License(s): *
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Credentials: * Year completed:
Years practicing in Advanced Practice Role:
Specialty(ies) *
Practice Setting *
Total NP Practice Hours/Week:	40+ 32-39 24-31 16-23 8-15 1-7 N/A
Key interests in: (Check all that apply)	General Medical Dermatology Wound Care Oncology Surgery Research Cosmetic Dermatology Pediatric Dermatology Dermoscopy Administrative Issues Dermatology Education Teledermatology Legislative Issues
Demographics
Gender: Male   Female  Year of birth: 19 # see note below Ethnicity:  Hispanic  Non Hispanic
Race:  American Indian/Alaskan Native Asian Black/African American Native Hawaiian/Other Pacific Islander White
How you learned about the NADNP:
#Filling in the ethnicity and the race sections of the demographics is optional (not required for membership)	* Required Fields