Cornerstone Integrated Health LLC

Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Moriarty, NM

NPI 1114850476 · NPPES record last updated Jun 5, 2026

Key facts

NPI
1114850476
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Legal business name
CORNERSTONE INTEGRATED HEALTH LLC
Practice address
86B Martin LN
Moriarty, NM 87035-5605
Phone
(505) 249-8758
Fax
(505) 295-6877
NPI assigned
Jun 5, 2026
Organization subpart
No

Authorized official

Name
Mr. Nathan Duane Cogburn, FNP
Title
Owner
Phone
(505) 249-8758

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LP0808X Yes

Addresses

Primary practice location

86B Martin LN
Moriarty, NM 87035-5605

Mailing address

86B Martin LN
Moriarty, NM 87035-5605
Phone (505) 249-8758

Other providers in Moriarty, NM

All providers in Moriarty, NM · Psychiatric/Mental Health Nurse Practitioner in New Mexico

Sources for this page

Verify at the official NPI Registry.