Provider Demographics
NPI:1568122679
Name:CYR, VICKY LEAH (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:VICKY
Middle Name:LEAH
Last Name:CYR
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 HANSON LAKE RD
Mailing Address - Street 2:
Mailing Address - City:MAPLETON
Mailing Address - State:ME
Mailing Address - Zip Code:04757-4106
Mailing Address - Country:US
Mailing Address - Phone:207-769-2025
Mailing Address - Fax:207-554-4890
Practice Address - Street 1:66 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-3243
Practice Address - Country:US
Practice Address - Phone:207-551-2226
Practice Address - Fax:207-554-4890
Is Sole Proprietor?:No
Enumeration Date:2021-12-30
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP211552363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily