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New York: Full Practice, outside the Nurse Licensure Compact. NPs in New York with 3,600 hours of practice or fewer must practice in collaboration with a physician under a written practice agreement and written practice protocols. NPs with more than 3,600 hours of practice are currently exempt from those requirements.

North Carolina: Restricted Practice, a Nurse Licensure Compact member. North Carolina requires NPs to practice under physician supervision.

Pennsylvania: Reduced Practice, a Nurse Licensure Compact member. Pennsylvania requires a collaborative agreement for NP practice.

California: Restricted Practice, outside the Nurse Licensure Compact. California NPs generally practice under standardized procedures developed collaboratively with physicians and furnish drugs and devices under physician supervision. NPs who complete a transition to practice in California of three full-time equivalent years or 4,600 hours can be certified to practice without standardized procedures in a group setting with a physician, and usually after at least three more years in good standing, in an independent setting.

Colorado: Full Practice, a Nurse Licensure Compact member. Colorado NPs can practice independently and prescribe medications, including controlled substances. NPs new to prescribing first receive provisional prescriptive authority and must complete a 750 hour prescribing mentorship with a physician or an advanced practice registered nurse who has full prescriptive authority within three years to earn full prescriptive authority.