person
Nathalie K Diethrich, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Decatur, Illinois
NPI 1104374727

Nathalie K Diethrich is a Psychiatric/Mental Health Nurse Practitioner based in Decatur, IL and is specialized in Psychiatric/Mental Health. Nathalie K Diethrich practices in Decatur, IL and has the professional credentials of PMHNP. The NPI Number for Nathalie K Diethrich is 1104374727 and holds a License No. 377001689 (Illinois).

The current practice location address for Nathalie K Diethrich is 151 N Main St, Decatur, IL and can be reached out via phone at 217-362-6262 and via fax at 217-362-6290. You can also correspond with Nathalie K Diethrich through the mailing address at 151 N MAIN ST, DECATUR, IL - 62523-1206 (mailing address contact number: 217-362-6262).

Location: 151 N Main St, Decatur, IL, 62523-1206
person
Provider Profile Details
NPI Number
1104374727
Provider Name
Nathalie K Diethrich
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
151 N Main St, Decatur, IL, 62523-1206
Phone Number
217-362-6262
Fax Number
217-362-6290
Provider Enumeration Date
09/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
151 N Main St
City
State
Zip
62523-1206
Phone Number
217-362-6262
Fax Number
217-362-6290
person
Provider Business Mailing Address Details
Address
151 N Main St
City
State
Zip
62523-1206
Phone Number
217-362-6262
Fax Number
217-362-6290
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
377001689 (Illinois)
Definition
Definition to come...
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