# CORNERSTONE CLINICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639691629
- **Authorized official:** LAURA MADU (NURSE PRACTITIONER)
- **Authorized official phone:** (740) 414-0111

## Contact information

- **Practice address:** 802 CLARE AVE STE 101, PORTSMOUTH, OH 45662-2583
- **Practice address phone:** (740) 414-0111
- **Mailing address:** 802 CLARE AVE STE 101, PORTSMOUTH, OH 45662-2583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | 35.088677 | OH | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | 35.127057 | OH | Yes |
| 363LF0000X | Family Nurse Practitioner | APRN.CNP.15280 | OH | — |

## Other

- **Enumeration date:** 07/11/2017
- **Last updated:** 07/11/2017