Provider Demographics
NPI:1316239387
Name:CYR, KAREN LYNN
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LYNN
Last Name:CYR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-4032
Mailing Address - Country:US
Mailing Address - Phone:207-973-3742
Mailing Address - Fax:207-973-3742
Practice Address - Street 1:160 MAPLE ST
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-4032
Practice Address - Country:US
Practice Address - Phone:207-973-3742
Practice Address - Fax:207-973-3742
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEALLS 4255373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty