Provider Demographics
NPI:1770703811
Name:SCHROEDER-CYR, KRISTEN JANE (APRN BC)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:JANE
Last Name:SCHROEDER-CYR
Suffix:
Gender:F
Credentials:APRN BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2764
Mailing Address - Country:US
Mailing Address - Phone:207-406-7070
Mailing Address - Fax:207-406-7075
Practice Address - Street 1:81 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 2300
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2764
Practice Address - Country:US
Practice Address - Phone:207-406-7070
Practice Address - Fax:207-406-7075
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP81810363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME2006011307OtherANCC CERT #