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NHIA Membership Staff Form

Please list additional staff to be added to your NHIA membership (all fields are required).

To update your complete roster please e-mail info@nhia.org using a company e-mail address.

Dr. Ms. Mr.
Name:
RPh PharmD RN Other
Title:
Company:
Address:
City:
State:
Zip:
Email address:
Phone:
Fax
Primary Job Function Billing/Reimbursement – A/R Manager
Case Manager
Consultant
Dietitian
Discharge Planner
Educator
Financial Officer
Government
Human Resources Professional
Manager
Nurse
Operations
Owner/CEO
Pharmacist
Pharmacy Technician
Physician
Retired
Sales & Marketing Professional
Student
Technology/IT
Trustee/Board of Director
Other