American Board of Neurophysiologic Monitoring (ABNM)

American Board of
Neurophysiologic Monitoring (ABNM)

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Diplomate Contact Information Update

The ABNM would like to establish a private Directory of ABNM Diplomate contact information which the ABNM will never disclose or distribute. The purpose of maintaining this private ABNM Diplomate directory is to permit the ABNM to issue reminders to ABNM Diplomates of the dates at which their ABNM certification is due to expire and to inform current ABNM Diplomates of any changes that are planned or have been implimented for the requirements of Recertification. Submission of Diplomate contact information is on a voluntary basis and all information obtained from this page will not be shared with any individual or entity and will be used only by the ABNM.

First Name Last Name Degree

Buisness Home

Street Address

Institution

Mail Stop

City

State

Zip Code

Country

Phone Number

Fax Number

Cell Number

Pager

Email Address 1

Email Address 2

Diplomate Number

Type of Practice Description:

Years In IOM

Training Neurophysiologist

Clinical IOM Practice % of practice devoted to IOM %

IOM Supervision % or Practice %

IOM Primary Technologist Role % of Practice %

% of research time %

Comment Comment:

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