Provides patient care in the office setting.  Provides care that meets the psychosocial, physical and general aspects of care; meets the communication needs of patient and family; provides care that reflects initiative and responsibility indicative of professional expectations, under the supervision of a Registered Nurse and/or physician.  Assists with patient exam and treatment, prescription refills, lab test follow-up.  Maintains regulatory requirements, nursing and office policies, procedures and standards.  Communicates with physicians and team members about patient's clinical condition, including results of diagnostic studies and symptomatology.