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3.
License & Certifications - Step 3 of 4
 

Thank you for your interest in applying with Perimeter Anesthesia.   

To continue your credentialing with Perimeter Anesthesia, please upload the following documents.

Once you have uploaded the items on this page, please click at the bottom of the page to continue to page 4.   

1. CRNA School Certificate (or Physician Anesthesia Fellowship)

2. CAQH Login Release Form 

3. BLS Certification

4. ACLS Certification

5. PALS Certification

6. NPDB Self Query.  Please submit your NPDB request through the website below.

When it asks if it is for personal or organizational purposes, please submit it as personal.

https://www.npdb.hrsa.gov/ext/selfquery/SQHome.jsp

License & Certifications - Step 3 of 4
CRNA School Certificate
Upload supported file (Max 15MB)
CAQH Login Release
Upload supported file (Max 15MB)
NPDB Self Query
Upload supported file (Max 15MB)
BLS Certification
Upload supported file (Max 15MB)
ACLS Certification
Upload supported file (Max 15MB)
PALS Certification
Upload supported file (Max 15MB)

Thanks for submitting!

Click to Continue

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