Credentialing is not required. Welcome letters will not be sent. However, please complete this form to be listed in DocFind, our online provider directory. Please check DocFind to verify your listing within 45 days of submitting form.
Important note: Please do not complete this form if you need to submit more than 10 nurse practitioners, nurse midwives, physician assistants or clinical nurse specialists. You should contact your Aetna network representative for assistance.
All fields marked with a RED asterisk (*) are required in order to proceed.