August 27, 2009 Christine Filipovich, MSN, RN Chief Executive Officer NACNS 2090 Linglestown Road, Suite 107 Harrisburg, PA 17110 Email: Christine@pronursingresources.com Dear Ms. Filipovich: On behalf of the American Nephrology Nurses Association (ANNA), I am writing to inform you that ANNA endorses the Core Practice Doctorate Clinical Nurse Specialist Competencies. Thank you for the opportunity to participate and endorse these competencies. Sincerely, Donna Bednarski, MSN, RN, ANP-BC, CNN, CNP National President