<a:Nurse>

<a:SubmissionActionCode>A</a:SubmissionActionCode>
<a:Jurisdiction>&&&JURISDICTION&&&</a:Jurisdiction>
<a:LicenseNumber>&&&LICENSE_NUMBER&&&</a:LicenseNumber>
<a:LicenseType>&&&LICENSE_TYPE&&&</a:LicenseType>
<a:Email>&&&EMAIL&&&</a:Email>
<a:CellPhoneNumber>&&&PHONE_NUMBER&&&</a:CellPhoneNumber>
<a:Address1>&&&ADDRESS_1&&&</a:Address1>
<a:Address2>&&&ADDRESS_2&&&</a:Address2>
<a:City>&&&CITY&&&</a:City>
<a:State>&&&STATE&&&</a:State>
<a:Zip>&&&ZIP&&&</a:Zip>
<a:LastFourSSN>&&&LAST_FOUR_SSN&&&</a:LastFourSSN>
<a:BirthYear>&&&BIRTH_YEAR&&&</a:BirthYear>
<a:HospitalPracticeSetting>21</a:HospitalPracticeSetting>
<a:HospitalPracticeSettingOther>Lorem Ipsum</a:HospitalPracticeSettingOther>
<a:NotificationsEnabled>Y</a:NotificationsEnabled>
<a:RemindersEnabled>Y</a:RemindersEnabled>
<a:LocationList>001</a:LocationList>
<a:RecordID>&&&RECORD_ID&&&</a:RecordID>

</a:Nurse>