Nurses assist with births here; I don't see why NPs couldn't (though I don't think either one is considered qualified to be the primary attendant; I think either a CNM or an OB/GYN has to officiate). However, the NP would have to have privileges at the hospital. The two hospitals on Kaua'i no longer have advanced-practice RNs (which include CNMs and NPs). Something about cost-cutting measures. I don't understand it.