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Organization

CORNERSTONE INTEGRATED HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NATHAN DUANE COGBURN FNP (OWNER)
(505) 249-8758
Entity
Organization

Contact information

Practice address
86B MARTIN LN, MORIARTY, NM 87035-5605
(505) 249-8758
(505) 295-6877
Mailing address
86B MARTIN LN, MORIARTY, NM 87035-5605
(505) 249-8758
(505) 295-6877

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
06/05/2026
Last updated
06/05/2026
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