NP Support & Alignment Network (NP SAN)

Please complete the following questions to join the NP SAN, and to be referred to a Practice Transformation Network (PTN). The information collected on this survey will be reported to the Centers for Medicare and Medicaid Services (CMS) and PTNs.

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* First Name

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* Last Name

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* Practice Type

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* Practice Name

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* Practice Address

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* Phone Number

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* Email

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* Email Confirmation

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 33% of survey complete.

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