NATHALIE KAE DIETHRICH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277001744

License Status

ACTIVE

Business

First Name

NATHALIE

Middle

KAE

Last Name

DIETHRICH

Business Name

NATHALIE KAE DIETHRICH

Original Issue Date

12/30/2021

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

DECATUR

State

Zip

62523

Ever Disciplined

LastModifiedDate

03/09/2026