Mozingo, Nathan J

Mozingo, Nathan J is an individual health care provider with primary practice located at 1 Hospital Dr , Columbia MO 65212-0001. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Mozingo, Nathan J can be contacted via phone (573) 882-2663.

Contact Information

Primary practice address
1 Hospital Dr Columbia MO 65212-0001
Phone: (573) 882-2663
Fax: (573) 882-1760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2015032912 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2015032912 Missouri

Profile Details

NPI number 1295711315
LBN Legal business name Mozingo, Nathan J
Credentials APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Sep 2nd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295711315 NPPES
Missouri MEDICAID 498263532

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