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In VA, you must have a NREMT-P certification to receive your initial reciprocity to get your certification. Once you have the state cert, you can let your NREMT-P lapse, it is not required for recert in VA. Your state license will last 3 years, but the CE hours are the same hours, NREMT to VA, so there is really no reason to let your NREMT lapse. There is no Virginia EMT-P exam, you must have NREMT to become a paramedic. The state now has started requiring ALL levels of EMS to obtain their NREMT certification in order to become an EMT in VA. This is a new standard that was put in place this year.

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