What is a Nurse Practitioner?

nurse practitioner (NP) is an advanced registered nurse practitioner (ARNP) who has completed additional training beyond that of a registered nurse (RN).

Education to become a nurse practitioner (NP) is rigorous and requires advanced coursework and clinical rotations beyond that required of the RN. Curriculum includes, but is not limited to, courses in epidemiology; health promotion; pathophysiology; physical assessment; pharmacologydifferential diagnosis and laboratory/radiography diagnostics; statistics and research methods; health policy; role development and leadership; acute and chronic disease management (e.g., adults, children, women's health, geriatrics, etc.); and, clinical rotations, which varies depending on the program. MSN programs also require a thesis or clinical research project. To become a licensed nurse practitioner in the United States, the process begins with obtaining a Bachelor of Science in Nursing (BSN, usually 4 years), followed by a Masters of Science in Nursing (MSN, usually 3 years).

This Education as an ARNP along with collaboration with a licensed physician allows the

 ARNP to safely provide:

  • Medical diagnoses, treatment, evaluation, and management of acute and chronic illness and disease (e.g., hypertension, diabetes, dyslipidemia, anemia, asthma, depression, anxiety, obesity, osteoarthritis, smoking cessation, thyroid disorders, wound care, musculoskeletal disorders, etc.)
  • Obtaining medical histories and conducting physical examinations
  • Ordering and interpreting diagnostic studies (e.g., lab tests, x-rays and EKGs)
  • Requesting physical therapyoccupational therapy, and other rehabilitation treatments
  • Prescribing drugs for acute and chronic illness (extent of prescriptive authority varies by state regulations)
  • Providing primary and specialty care services, health-maintenance care for adults, including annual physicals
  • Providing care for patients in acute and critical care settings
  • Counseling and educating patients on health behaviors, self-care skills, and treatment options in coordination with occupational therapists and other healthcare providers.

Contact Us?

Questions, comments, concerns? Shoot us an email: CS@communitymedicalassociates.net    

Our Staff:

Steven E. Maly, MSN, FNP-BC , ARNP
Board Certified Family Nurse Practitioner
Managing Member


Julie T. Maly, MSN, FNP-BC, ARNP 
Board Certified Family Nurse Practitioner

Roberta Rexroth, MSN, ANP-BC, ARNP
Board Certified Adult Nurse Practitioner


Our Medical Director:

        David Moreno, MD
        Board Certified Internal Medicine and Nutrition