Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Russell David Coryell, CNP-FNP

Individual provider Family Nurse Practitioner · NPI 1366811721

Russell David Coryell, CNP-FNP is a Nurse Practitioner in Las Cruces, New Mexico. Qualified in 2015, 11 years ago. Practices with Las Cruces Physician Practices, LLC, a 108-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
11
Licensed in
NM
In the registry since
2015
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Practice location Address checks out

1455 S Valley Dr Ste B
Las Cruces, NM 88005-3165
Phone: (575) 526-6992
Fax: (575) 526-7983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP-02762 (NM)

Record details

NPI number1366811721
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP-FNP
Sole proprietorNo
NPI enumeratedSeptember 16, 2015
Last updated in NPPESSeptember 8, 2020
Certification dateSeptember 8, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Las Cruces Physician Practices, Llc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Las Cruces