NATHALIE KAE DIETHRICH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****89

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

County

MACON

Ever Disciplined

LastModifiedDate

03/09/2026