CNS Advanced Practice

Washington Clinical Nurse Specialist License Requirements

Complete guide to becoming a Clinical Nurse Specialist in Washington

Processing Time

4-8 weeks

Initial Cost

$130

Renewal Period

2 years

Practice Authority

full

Official source: licensing in Washington is administered by the Washington Nursing Care Quality Assurance Commission. This guide summarizes the board's requirements — always confirm details there before applying. Already licensed? Look up a nursing license in Washington.

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Full Practice Authority

Washington licenses CNS as an ARNP (WAC 246-840-300); ARNP is a licensed independent practitioner with full practice authority, no physician oversight required.

Prescriptive Authority: Full Practice Authority state

1 Education Requirements

Degree Required

Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP)

Program Requirements

Complete accredited Clinical Nurse Specialist program
Hold active RN license in the state
Clinical hours as specified by program

2 National Certification

Certification Body

ANCC or AACN

Required

Yes

American Nurses Credentialing Center or American Association of Critical-Care Nurses

3 Fees

Initial Licensure

Application Fee	$130
Total	$130

Renewal

Renewal Fee (every 2 years)

$130

Continuing Education Requirements

Contact hours required

2 years

Renewal cycle

Pharmacology: 15 hours required

Prerequisites

To become a Clinical Nurse Specialist in Washington, you must first hold an active RN license. Washington is a member of the Nurse Licensure Compact (NLC), so you may hold a multistate RN license.

RN Requirements View Washington RN Requirements

Washington CNS License FAQs

How much does a CNS license cost in Washington?

Expect about $130 in total initial CNS license costs in Washington, including a $130 application fee. Fees can change, so confirm current amounts with the Washington Nursing Care Quality Assurance Commission.

How many CE hours do CNSs need to renew in Washington?

Washington CNSs must complete 30 continuing education hours each 2-year renewal cycle. The renewal fee is $130.

How long does it take to get a CNS license in Washington?

Most complete applications are processed in about 4 to 8 weeks, though background checks and application volume can extend the timeline.

Who issues CNS licenses in Washington?

The Washington Nursing Care Quality Assurance Commission handles CNS license applications, renewals, and verifications. You can reach the board at 360-236-4703.