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

This information was printed Thursday 29 September 2016 from humanservices.gov.au/health-professionals/forms/2960 It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.