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Individual

MR. NATHAN J MOZINGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN, FNP-C

Contact information

Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-2663
(573) 882-1760
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
2015032912
MO
363LF0000X
Family Nurse Practitioner
Primary
2015032912
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
498263532
MO
Enumeration date
12/20/2005
Last updated
09/02/2022
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