CORNERSTONE INTEGRATED HEALTH LLC
NPI 1114850476
Nurse Practitioner - Psychiatric/Mental Health in Moriarty, NM

Active since June 05, 2026
86B MARTIN LN, MORIARTY, NM 87035(505) 249-8758(505) 295-6877 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cornerstone Integrated Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORNERSTONE INTEGRATED HEALTH LLC (NPI 1114850476) is a healthcare organization registered as a psychiatric/mental health in Moriarty, New Mexico and active in the NPI registry since June 2026. The organization lists Nathan Duane Cogburn, Owner, as its authorized official.

NPPES Registry Identity

NPI1114850476
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCORNERSTONE INTEGRATED HEALTH LLC
Location Address86B MARTIN LNMoriarty, NM 87035-5605
Mailing Address86b Martin LnMoriarty, NM 87035-5605 · (505) 249-8758 · Fax (505) 295-6877
Fax(505) 295-6877
Organization SubpartNo
Authorized OfficialNathan Duane CogburnOwner · (505) 249-8758
Enumeration DateJune 5, 2026
NPPES CertifiedJune 5, 2026
NPI 1114850476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
86B MARTIN LN, Moriarty, NM 87035

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
86B MARTIN LN
MORIARTY, NM 87035
Community/Behavioral Health
86B MARTIN LN
MORIARTY, NM 87035

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114850476, enumerated as an "organization" on June 05, 2026.

The provider is located at 86B MARTIN LN MORIARTY, NM 87035 and the phone number is (505) 249-8758.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.