Individual
MR. NATHAN DUANE COGBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
7 MUNICIPAL WAY, EDGEWOOD, NM 87015-7210
(505) 281-3406
Mailing address
86B MARTIN LN, MORIARTY, NM 87035-5605
(505) 249-8758
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
78111
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
78111
NM
Other
Enumeration date
02/26/2024
Last updated
05/01/2026
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