This Nursing ID Reel comes embellished with coordinating beads(may vary slightly) & name of choice. It also includes a medical symbol charm. If you prefer to only have a name (no title) please leave those notes at checkout. Colors can be changed, but if nothing is indicated at checkout the badge will be made as the first photo shows. Can be personalized with RN, NP, or LPN if needed. We can design any image or text so please contact if you need something different. The pull is approximately 33 inches in length. To view all our items please visit Nurse Personalized Id Badge Reel, Medical Symbol, Caduceus Charm, Rn Np Nursing, Id Clip, Bottle Cap, Doctor Medical, Hospital Staff