Hello, I know that Stanford University-Foothill College in Palo Alto Californis has what they call Primary Care Associate program that is 15 months long. When you finish, you take the national test as a PA, but with the option to take the NP, too, and become California State NP certified. Basically, you are a PA and an NP, but you can't work in both capacities, only in one. For more infomation, type the words...Primary Care Associates Program on you browser, this should get to the web site that tells all. Hope this helps all that are wondering.