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Individual

MIKAYLA NORTHUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LD

Contact information

Practice address
722 WASHINGTON ST, MEADVILLE, PA 16335-2127
(814) 795-1549
Mailing address
23914 THORNAPPLE DR, CAMBRIDGE SPRINGS, PA 16403-3566

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN008248
PA

Other

Enumeration date
07/15/2022
Last updated
05/12/2025
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