Individual
JUSTIN EDWARD CYR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-2526
Mailing address
155 LINE RD, GORHAM, ME 04038-2144
(207) 318-7135
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
089418-23
NH
367500000X
Certified Registered Nurse Anesthetist
RNA193044
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RNA193044
MAINE BOARD OF NURSING
ME
Enumeration date
06/06/2017
Last updated
10/02/2023
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