| Nathan Duane Cogburn, FNP | |
|
7 Municipal Way, Edgewood, NM 87015-7210 | |
| (505) 281-3406 | |
| Not Available |
| Full Name | Nathan Duane Cogburn |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 7 Municipal Way, Edgewood, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083470116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 78111 (New Mexico) | Primary |
| Entity Name | First Choice Community Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902993132 PECOS PAC ID: 7315854049 Enrollment ID: O20040121001003 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Duane Cogburn, FNP 86b Martin Ln, Moriarty, NM 87035-5605 Ph: (505) 249-8758 | Nathan Duane Cogburn, FNP 7 Municipal Way, Edgewood, NM 87015-7210 Ph: (505) 281-3406 |
Vivienne Prinz, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Quail Trl, Unit B, Edgewood, NM 87015 Phone: 505-208-0204 | |
Thu Thanh Nguyen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Quail Trail, Unit B, Edgewood, NM 87015 Phone: 505-208-0204 Fax: 505-717-2884 | |
Mary Ann Crow, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Quail Trl, Edgewood, NM 87015 Phone: 505-208-0204 | |
Tracy J. Graff, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7 Municipal Way, Edgewood, NM 87015 Phone: -- | |
Cierra Dorado, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Quail Trl, Edgewood, NM 87015 Phone: 505-208-0204 | |
Chelsey Ann Weinbrecht, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 143 Square H Rd, Edgewood, NM 87015 Phone: 505-363-1884 |