19. To perform the activities referred to in section 36.1 of the Nurses Act (chapter I-8), a specialized nurse practitioner must, within 30 days of obtaining a specialist’s certificate and not later than 1 April of each subsequent year, file a statement with the secretary of the Order on the prescribed form, containing the following information:(1) her class of specialization;
(2) the name, address and telephone number of the institution, clinic, dispensary or other place where she performs professional activities;
(3) the area of care in which she performs professional activities, where applicable.