A CNM is an independent practitioner and expert in women’s health as well as maternity care and birth. She is a primary care provider for women. Their scope of practice allows them to be independent of doctors, prescribe medications, and may work in a clinic, hospital, or private practice including out of hospital birth in a home or birth center. They are certified nationally by the American College of Nurse Midwives (ACNM) and maintain their credentials through the American Midwifery Certification Board (AMCB) by meeting continuing education requirements. In Minnesota, CNM’s are licensed to practice by the Board of Nursing as an Advanced Practice Registered Nurse.