The act that defines APRN practice in Guam
The compact decides whether you may practice in Guam. What APRN practice actually means here — scope, titles, what you may do and delegate — is set by Guam’s own nurse practice act, Guam nursing licensure law (Guam Board of Nurse Examiners, HPLO), and interpreted by the Guam Board of Nurse Examiners. Two states can both recognize your license and still differ on what you may do with it.
Where Guam stands on the APRN Compact
We have found no APRN compact law on Guam’s books. Read that as a floor rather than a census: our own research turned up two jurisdictions that the published member lists we checked had omitted, so “we have not found it” is the honest claim rather than “it is not there”. Either way no APRN is practicing across state lines on that compact today, Guam included.
The compact does not cover APRN roles
The Nurse Licensure Compact covers RN and LPN/LVN licenses. It does not cover APRN authorization — NPs, CRNAs, CNSs, and CNMs. That has been the case since the compact began and applies in every state.
What that means in Guam
Guam has partial compact implementation: an out-of-state multistate license may be recognized for RN and LPN/LVN practice, but Guam residents generally cannot yet obtain a Guam-issued multistate license. Either way, APRN authority is separate from the compact — to practice as an APRN in Guam, you work through the Guam Board of Nurse Examiners; to practice as an APRN elsewhere, you use that state’s process.
The separate APRN Compact
A distinct APRN Compact has been drafted to do for advanced practice what the NLC does for RNs and LPNs/LVNs, but it is not yet operational. Until enough states join and it is implemented, APRN privileges do not cross state lines automatically.