Individual
MR. NATHAN NORTHUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MO/HIS
Contact information
Practice address
3320 BLUFF CREEK DR STE 107, COLUMBIA, MO 65201-3662
(573) 875-4327
Mailing address
3320 BLUFF CREEK DR STE 107, COLUMBIA, MO 65201-3662
(573) 875-4327
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2008000047
MO
Other
Enumeration date
06/26/2013
Last updated
01/13/2026
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