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Ia statewide universal application

Ia statewide universal application 2025

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The document is an Iowa Statewide Universal Practitioner Credentialing Application, which requires healthcare practitioners to provide detailed personal, professional, and educational information for credentialing purposes. It includes sections for demographic data, practice site information, licensure details, malpractice coverage, hospital privileges, certifications, education and training history, professional experience, references, and quality-focused questions regarding the practitioner's conduct and qualifications. The application must be completed in full and signed by the practitioner.

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Versions	Form popularity	Fillable & printable
2013	4.8 Satisfied (126 Votes)

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