Give me some perspective NP's

If you want a provider role pick some type of NP. Although the CNS can still be a provider in some environs, that isn't quite the norm anymore. If you want to do trauma, I'm not sure. I honestly do not see NPs on trauma teams and if there's a CNS on such a team they're probably functioning as a RN in that instance and doing CNS stuff elsewhere. We've got plenty of ED/trauma enthusiasts around that can probably help in this. Maybe post a question asking about NPs on trauma teams down in the ED forum.

My previous level one facility had NP's on their trauma team and they inserted central lines, chest tubes, ran codes, etc. (ACNP)

I am a CNS and I never advise anyone to go that route - its a dying role unfortunately unless you are an APN

Yup- CNS is a dying breed. I became certified because I was in a dual CNS-ACNP program. But it would've almost impossible to get hired as strictly a CNS, at least in my neck of the woods. And I also noticed with my CNS clinical that their role was kind of a hybrid RN and administrator. Personally didn't really understand why it required an advanced degree.

My original goal was to become a physician. The reason I wanted to be a physician was the knowledge obtained and the opportunity to be an expert in whatever field you choose (cardiology, emergency medicine, etc...). However, in order to become a physician I would have to end my relationship, move out of state, and be in debt $150,000 - $250,000 dollars for tuition/cost of living. So i decided I was not prepared to take that leap, and I am 100% okay with that.

Fast forward to today... I am entering nursing school to ultimately become a Nurse Practitioner.

All this being said has anyone heard of the Vanderbilt NP Program? It has caught my eye since they have the opportunity to "specialize" and the Nurse Practitioner candidates are trained in their School of Medicine.