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Naturopathic Doctor — ND/NMD
Total cost: $450
3 sources cited · Last verified March 2026 · Every number on this page links to its official source
Some details on this page are not yet confirmed against an official source. See sources below or contact the licensing board to verify.
Yes
License Required
Yes
NPLEX Required
Yes
Prescriptive Auth.
Yes
Minor Surgery
30 hrs
CE Hours
$450
Total Initial Fees
CNME-Accredited Program & Degree
VerifiedCNME Program
Required
Program Length
4 years
Degree Level
Doctor of Naturopathic Medicine (ND/NMD) from a CNME-accredited naturopathic medical program
Accredited Schools
Must graduate from a CNME-accredited naturopathic medical program. CNME does not accredit online programs.
Naturopathic doctors must complete a 4-year post-graduate doctoral program from a CNME-accredited (Council on Naturopathic Medical Education) naturopathic medical school. The program includes approximately 4,100 hours of classroom and clinical training covering biomedical sciences, clinical sciences, botanical medicine, nutrition, physical medicine, homeopathy, pharmacology, and supervised clinical rotations. There are currently 7 CNME-accredited programs in the United States and Canada.
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NPLEX & State Examinations
VerifiedNPLEX Examination Required
Naturopathic Physicians Licensing Examinations
NPLEX Parts
NPLEX Part I and Part II plus required add-on examinations in acupuncture and minor surgery
Jurisprudence Exam
No State Jurisprudence Exam
NPLEX add-on examinations in acupuncture and minor surgery are required
Additional Requirements
The NPLEX (Naturopathic Physicians Licensing Examinations) consists of two parts: Part I covers biomedical sciences (anatomy, physiology, biochemistry, microbiology, pathology, and pharmacology) and Part II covers clinical sciences (diagnosis, botanical medicine, nutrition, physical medicine, homeopathy, counseling, minor surgery, pharmacology, and emergency medicine). All licensing states require passage of both parts. Some states additionally require a state-specific jurisprudence examination.
Overall licensing difficulty: 36/100
Study recommendation: 1–2 weeks of focused review is usually sufficient
Practice with realistic exam questions
NPLEX (Naturopathic Physicians Licensing Exam)
Browse study guides
Naturopathic Medicine Exam Prep
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Difficulty rating based on education, exam, and experience requirements. Individual experience may vary.
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Study guides for the NPLEX licensing exam.
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State Licensing Requirements
VerifiedState License/Registration Required
State License Title
Naturopathic Medical Doctor
Additional Notes
Arizona has one of the broadest naturopathic scopes of practice in the country.
Approximately 25 states plus the District of Columbia license or register naturopathic doctors. States without licensure include Alabama, Arkansas, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, West Virginia, and Wyoming. Only graduates of CNME-accredited programs qualify for state licensure.
Practice Scope & Authority
VerifiedPrescriptive Authority
Yes
Minor Surgery
Yes
Natural Childbirth
Yes
IV Therapy
Yes
Scope Details
Arizona has one of the broadest naturopathic scopes of practice in the country. NMDs have prescriptive authority including Schedule III-V controlled substances with DEA registration, may perform minor surgery, administer IV therapy, practice acupuncture, attend natural childbirth, and serve as primary care providers. Arizona NMDs may administer vaccines and prescribe antibiotics and oral contraceptives.
Naturopathic doctor scope of practice varies enormously by state. States with the broadest scope (Oregon, Washington, Arizona, Vermont, Montana) allow prescriptive authority including some controlled substances, minor surgery, natural childbirth attendance, and IV therapy. Other states have more limited scope covering diagnostic testing, nutritional counseling, botanical medicine, and physical medicine only. In unlicensed states, naturopathic practice may be unregulated or prohibited.
Prescriptive & Procedural Authority
VerifiedPrescriptive Authority Granted
NDs may prescribe medications from an approved formulary
Minor Surgery
Authorized
Natural Childbirth
Authorized
IV Therapy
Authorized
Prescriptive authority for naturopathic doctors varies significantly by state. States with the broadest authority (Oregon, Washington, Arizona, Vermont, Montana) allow NDs to prescribe most non-controlled substances and some controlled substances with DEA registration. Other states limit NDs to a defined formulary of natural and synthetic substances. DEA registration may be available in states with prescriptive authority for controlled substances. Always verify current prescriptive authority with the state licensing board.
| Fee | Amount |
|---|---|
Application Fee | $400 |
License Fee | $50 |
Renewal Fee | $400 |
Total Initial Fees Application $400 plus initial license issuance $50 | $450 |
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Renewal & CE Requirements
Verified1 year
Renewal Period
30 hrs
CE Hours Required
$400
Renewal Fee
CE Details
30 continuing medical education hours per year required for license renewal
Regulatory Board
Naturopathic doctor licenses must be renewed on schedule with the state licensing authority. Most licensing states require 20-40 continuing education hours per renewal cycle in naturopathic medicine, pharmacology, clinical sciences, diagnostic techniques, botanical medicine, nutrition, and related professional topics. Some states require specific CE hours in pharmacology for NDs with prescriptive authority.
Out-of-State Reciprocity
VerifiedEndorsement Available
Yes
Comity Available
No
Reciprocity Requirements
Most states that license naturopathic doctors offer reciprocity or endorsement for licensed NDs from other states. Requirements typically include verification of current ND licensure in good standing, graduation from a CNME-accredited program, passage of NPLEX Parts I and II, and completion of a background check. Some states may require a state-specific jurisprudence exam. Scope of practice may differ between states.
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See how requirements, costs, and timelines differ across all 50 states.
Arizona grants naturopathic medical doctors (NMDs) one of the broadest scopes of practice in the U.S., including prescriptive authority for Schedule III-V controlled substances with DEA registration, acupuncture, minor surgery, IV therapy, and natural childbirth attendance. Arizona requires NPLEX add-on exams in both acupuncture and minor surgery for licensure.
Arizona has one of the broadest naturopathic scopes of practice in the country.
NMDs have prescriptive authority including DEA registration for Schedule III-V controlled substances.
NPLEX Parts I and II plus acupuncture and minor surgery add-on exams are required.
Application fee is $400; initial license issuance is $50; annual renewal is $400.
Arizona NMDs are recognized as primary care providers.
Only CNME-accredited program graduates qualify; online programs are not accepted.
Naturopathic Doctor requirements in nearby states
| State | Total Cost | Timeline | |
|---|---|---|---|
| Arizona (you) | $450 | 420–440 wks | |
| California | $941-$1,400 | 420–440 wks | → |
| Colorado | — | 420–440 wks | → |
| Nevada | — | 420–440 wks | → |
| New Mexico | $400 | 420–440 wks | → |
See how Arizona compares: Naturopathic Doctor License Fees by State — Cheapest to Most Expensive →
Compare naturopathic doctor requirements across all states →
Naturopathic Doctor licensing requirements nationwide →
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How does Arizona compare to other states for naturopathic doctor? See the full comparison →
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Explore requirements for other professional licenses in Arizona.
Naturopathic Doctor Schools in Arizona
Compare approved training programs, costs, and requirements.
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Already licensed elsewhere? See how to transfer your Naturopathic Doctor license to Arizona →
Transfer your Naturopathic Doctor license from Arizona to: California → | Colorado → | Nevada → | New Mexico → | Utah →
Arizona licenses/registers naturopathic doctors. Prescriptive authority is granted. NPLEX Parts I and II are required. All licensing is managed through the Arizona Naturopathic Physicians Medical Board.
Requirements vary by state. Always verify current requirements with your state licensing authority.