OR Current California licensure as a Nurse Practitioner and Board Certification by the American Nurse Credentialing Center, American Academy of Nurse Practitioners, American Association of Critical Care Nurses, or Pediatric Nursing Certification Board. Seeks consultation from physician on any cases that he/she may feel exceeds his/her ability to manage, when the PA is in doubt of the diagnosis, when a patient fails to respond to treatment or when the patient expresses a desire to see the physician.