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Contact Information

RUSSELL D CORYELL, CNP-FNP
1455 S VALLEY DR STE B
LAS CRUCES, NM88005-3165
 Phone: 575-526-6992
 Fax: 575-526-7983
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for RUSSELL D CORYELL · (Male)

NPI Number 1366811721
Status Active
Credentials CNP-FNP
Entity Individual
Enumeration date 09/16/2015
Last updated 09/08/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NM License # CNP-02762
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER INC - (Acute Care)
    2450 SOUTH TELSHOR BLVD
    LAS CRUCES, NM 88011
  • MOUNTAIN VIEW REGIONAL MEDICAL CENTER - (Acute Care)
    4311 EAST LOHMAN AVENUE
    LAS CRUCES, NM 88011
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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