Certificates take 4‐6 weeks. Remember to send a copy of your certificate to the medical
staff office at internal mail code 8821.
Allied Staff New DEA Applicants:
On the first page of the Application –.
The Business Category should always be set at Form 224 – Practitioners, Mid‐Level
Practitioners, Pharmacies, Hospitals/Clinics, Teaching Institutions.
Under that – at the bottom of page ‐ you will need to select one Business Activity from
the drop down menu. There is not a specific category for Nurse Midwives or Nurse
Anesthetists – you will need to select MLP‐Nurse Practitioner.
On the next page (page 1) General Information ‐ In the box for First Name – you will
need to enter your First name, Middle Initial and Degree – either CRNA or CNM. Some
practitioners opt to spell it out as Nurse Anesthetist or Nurse Midwife – those are also
acceptable – it is personal choice.