NP · Arizona

Supervision Agreement for Nurse Practitioners in Arizona

No. Nurse Practitioners practice independently here. Arizona does not require one.

Practice authorityIndependent practice
Written agreementNo agreement required
What Arizona calls itNo instrument required
Governing boardArizona State Board of Nursing and the Arizona State Board of Pharmacy
Research date2026-09-03 · clauses 2026-09-03

A.R.S. § 32-1601 defines registered nurse practitioner scope — including diagnosis and prescribing — with no collaborative or supervisory agreement mentioned; NPs need only consult/refer within normal professional judgment, the same standard a physician follows.

What the supervision must look like

The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.

Proximity

No proximity requirement

No supervising-physician relationship exists to have a proximity standard for.

Supervision ratio

Not codified — no cap on file

Chart review

Not codified — left to the agreement

Meeting cadence

Not codified — left to the agreement

Prescriptive authority

Covered by the practice agreement · controlled substances permitted

Legend drugs, devices, and controlled substances within RNP scope per board requirements (AZBN prescribing-requirements guidance; A.A.C. R4-19-511). DEA registration and AZ CSPMP enrollment required to prescribe controlled substances; ≥3 hrs opioid/SUD CE required to prescribe Schedule II.

Written agreement

Not required

Unconditional — no AZ statute conditions NP practice on a collaborative or supervisory agreement with a physician.

Practice ownership (corporate practice of medicine)

Non-licensee ownership permitted — A.R.S. § 10-3301 permits a corporation to engage in the practice of medicine/nursing so long as services are delivered only through individuals licensed in Arizona; no numeric ownership cap was confirmed in the primary text located.

See the ≤49%/≥50% ownership-split caveat on the `pa` entry's CPOM notes — same unconfirmed secondary-source figure would apply here if real.

Legal sources for these rules (3)

What a supervising physician costs here

Typical monthly cost in Arizona

$500$600

Estimate for one Nurse Practitioner. Standard-tier state.

About Arizona's rules

Arizona has no explicit statutory CPOM ban; existing doctrine comes only from two optometry cases never applied to physician/PA ownership, making MSO tolerance a reasonable inference rather than a confirmed rule. NP/CNM/PMHNP have FULL practice authority with no collaborative agreement. PA's 2024 reform (A.R.S. Title 32 Ch. 25) removes the written agreement at 8,000 hours but still requires a designated collaborating physician/entity.

Other clinicians in Arizona: see the state overview.