By Lynn Graebner

Family nurse practitioner Myra Howard runs the Buellton Medical Center in Buellton, California. She’s also the majority shareholder in the clinic. But the law still requires that her practice is supervised by a physician.

“If my family practice physician decides to leave, I have to close my door and all my services and investment goes away,” Howard said. She and the five physicians she has hired serve an average of 30 patients a day ranging from celebrities to undocumented workers.

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Nurse Practitioner Mary Knudtson has a doctorate in nursing science and is executive director of UCSC Student Health Services. She believes that nurse practitioners can provide primary care without a physician’s supervision.