NPs are pretty common these days in EDs for anything not immediately life threatening. It's completely normal to get a referral from one. I'd assume that is w

NPs are pretty common these days in EDs for anything not immediately life threatening. It's completely normal to get a referral from one. I'd assume that is what OP is talking about at least. It's getting rarer to see an actual physician for most visits in many areas. Edit: thinking about it more, I've received referrals directly from nurses before as well. Usually the triage nurse.