DEDICATED TO SERVING

MEMBERSHIP
APPLICATION

Our members are State leaders, industry experts, and advocates all with the same mission: to offer the greatest support to individuals in need by ensuring they receive the highest quality of care. Through the power of our voices together, we are committed to strengthening our goal.

Membership Application

EVV SERVICE PROVIDER

MCO/HEALTH PLAN - PAYOR

PROVIDER (AGENCY OR INDEPENDENT)

FEDERAL, STATE, OR ASSOCIATION (EMPLOYEE OR GROUP)

9 + 3 =

We accept all forms of credit cards – please contact us for details at contact@nevva.org or 614-656-2240.

Please return the application with a brief company description and check made payable to:

NEVVA,1100 Beecher Crossing North, Suite A, Gahanna, OH 43230

Contact us TODAY!

Thank you for your interest in NEVVA! We look forward to connecting with you.

10 + 14 =