PedANP Membership Application
First Name *
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Last Name *
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Clinic Name
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Address *
(this will be posted on your Find an ND listing)
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City *
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State *
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Zip *
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Phone *
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Email *
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Website
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CNME Naturopathic School Attended *
Graduation Year (or projected if student) *
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License Number
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License State
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Membership Category *
By clicking "Yes" below, I agree to uphold the standards of naturopathic medicine, and understand that any violation of those standards may terminate my PedANP membership status. I also understand that being a member of the PedANP does not designate me as a specialist. *
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