Can I get a multistate nursing license in Guam?

Generally no. Guam does not currently issue multistate licenses to its residents. You would hold a single-state Guam license, or apply by endorsement if you are licensed elsewhere. Verify with the Guam Board of Nurse Examiners.

Can I work in Guam with a compact license from another state?

Generally yes, if your license is an active multistate license from a compact state and you follow Guam's practice rules. Confirm your license type in Nursys first.

Does the compact in Guam cover RNs and LPNs/LVNs?

The Nurse Licensure Compact covers RN and LPN/VN licenses. It does not, by itself, cover APRN roles — APRNs generally need separate authorization in each practice state. This applies wherever the compact is in effect.

Is Guam a nursing compact state?

Partial implementationCompact: Partially

Partially. Guam has special, partial implementation of the Nurse Licensure Compact. Nurses with an active multistate license from another compact state may be able to practice in Guam, but Guam residents generally cannot yet obtain a Guam-issued multistate license. Do not rely on compact privilege until full implementation is confirmed.

Check another state Verify your license status

The short version

Guam is a special case. Under partial implementation, a nurse holding an active multistate license from another compact state can generally practice in Guam, but nurses who call Guam their primary state of residence cannot yet obtain a Guam-issued multistate license. Confirm the current rules before you rely on either path.

What nurses need to know

Guam is in a transitional, partial-implementation stage. Some parts of the compact may apply while others do not.

Practically, that means you should not assume compact privilege works the same way it does in a fully implemented state. Confirm the current rules with the board before you practice.

If you live in Guam

If Guam is your home, you generally can’t get a Guam-issued multistate license yet — even though nurses visiting from other compact states may be able to practice here. Keep an active Guam license and watch for full implementation.

If you want to work in Guam

An active multistate license from another compact state may let you practice in Guam under partial implementation, but the rules are still settling — confirm with the Guam Board of Nurse Examiners before you start.

Does the compact cover RNs, LPNs/LVNs, and APRNs?

The compact covers RNs and LPNs/LVNs. It does not, on its own, cover APRNs — nurse practitioners, CRNAs, CNSs, and CNMs generally need separate APRN authorization in each state. See the APRN guide for details, and confirm specifics with the Guam Board of Nurse Examiners.

Planning a move or a telehealth role? For telehealth you’re generally licensed where the patient is. Run your exact situation through the compact state checker.

Guam → Texas

Guam compact questions

Partially. Partially. Guam has special, partial implementation of the Nurse Licensure Compact. Nurses with an active multistate license from another compact state may be able to practice in Guam, but Guam residents generally cannot yet obtain a Guam-issued multistate license. Do not rely on compact privilege until full implementation is confirmed.

Why we point you to Nursys

CompactStates explains the state rules. Nursys confirms your individual license. Nursys QuickConfirm is the official, free service where nurses can look up whether their own license is single-state or multistate. We’re an independent guide; Nursys and your board are where personal license status is verified.

Open Nursys QuickConfirm

Sources reviewed

NLC member states map & status— NCSBN / NurseCompact (nursecompact.com)
Identifies full members, partial implementation (Guam), and enacted/awaiting implementation (Massachusetts, U.S. Virgin Islands).
NLC frequently asked questions— NCSBN / NurseCompact (nursecompact.com)
Covers multistate licenses, primary state of residence, the 60-day rule, telehealth, and license type coverage.
Nursys QuickConfirm license verification— NCSBN / Nursys (nursys.com)
Recommended destination to verify whether a license is single-state or multistate.

Facts on this page were last reviewed against official sources on 2026-06-17. Compact law changes — always verify with your state board of nursing.

This page is a practical guide, not a licensing decision. Always confirm your situation with your board of nursing.