Application for a Medicare provider number and/or Pharmaceutical Benefits Scheme prescriber number for a midwife or nurse practitioner form (2960)

Complete this form if you are: an eligible midwife or nurse practitioner applying for an initial or additional Medicare Australia provider number and/or an eligible midwife or nurse practitioner under Section 84AAF/84AAJ of the National Health Act 1953 applying for a prescriber number


Page last updated: 31 March 2016

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