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APRNs can diagnose and treat disease just like an MD or a PA for the most part. At minimum, an APRN has a registered nurse license (RN), hands-on clinical experience, and a masters degree in the nursing field. APRNs are also supervised by a licensed MD.
If you are currently licensed as a Hawaii APRN and wish to apply for prescriptive authority as a privilege under your APRN license, you must complete the application for Advanced Practice Registered Nurse Prescriptive Authority.
Neonatal NPs earn the most money and can expect continuing salary increases and a promising job outlook. Neonatal NPs who work in neonatal intensive care units or pursue relevant certifications can boost their earning potential. NPs who hold a doctorate in nursing can pursue lucrative leadership positions.
What is higher than a nurse practitioner? An NP can be a masters-trained APRN, and they can also have a doctorate. An NP who has obtained a doctorate has the highest level of nursing degree. In 2025, nurse practitioners must earn a doctorate.
Advanced practice nurse is the general designation for all nurses with an advanced degree in a nursing program. There are four main areas of specialization that an APN attains: Nurse Practitioner (NP), Certified Nurse Anesthetist (CRNA), Clinical Nurse Specialist (CNS), and Certified Nurse Midwife (CNM).
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Doctor of Nursing Practice (DNP) A DNP degree is the highest level of education in the nursing field and prepares nurses for leadership roles in their health care organizations.
Hawaii is one of the states that operate the Full Practice policy for nurse practitioners, which means they are allowed to practice to the full extent of their skill and knowledge.
Applying for a Hawaii APRN License RNs who want to progress to APRN licensing must prove they hold an RN license and have completed advanced nursing education for a state-recognized APRN role (CNP, for example).

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