Incumbent must possess and maintain a full, active, current, and unrestricted registration as a graduate professional nurse in a state, territory, or commonwealth of the United States, or in the District of Columbia.2. Certification by the council on certification of nurse anesthetists.3. Grade requirements established by VA handbook 5005.4. Subject to physical standards established by VA handbook 5019.5. Must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d).