West Virginia Board of Examiners
for Registered Professional Nurses

101 Dee Drive, Suite 102 
Charleston, WV 25311-1620
Phone: (304) 558-3596
Fax: (304) 558-3666
Email: rnboard@wv.gov

Address Change Form:

License #
Soc.Sec. #
New Address
Old Address
Phone Number:  _____________________________________________
Email address: ______________________________________________

There is no charge for an address change, but it must be submitted in writing to the board office within thirty (30) days of the change.


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