Hi all,I was looking at the AANP's "State Practice by Type" webpage and my state (Maryland) is listed as "State practice and licensure law reduces the ability of nurse practitioners to engage in at least one element of NP practice. State requires a regulated collaborative agreement with an outside health discipline in order for the NP to provide patient care. " I went on the Maryland board of nursing's webpage but couldn't find any information regarding this - it just says that I do in fact need a written attestation form/agreement with a physician. My question is this: What does the written attestation agreement mean later? I don't think it means I have to practice under the direct supervision of a MD. If I don't need the direct supervision of a MD, what does the attestation agreement have to do with anything? Thanks!P.S. Long story short, I am researching the level of autonomy for nurse practitioners in Maryland.