CHOOSE YOUR ROAD NPI 1780480590

NPI Information

  • NPI: 1780480590
  • Provider Name: CHOOSE YOUR ROAD
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 12 ACME RD STE 102
    BREWER, ME
    ZIP 04412
  • Phone: (207) 478-0653

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NPI Details

CHOOSE YOUR ROAD is a psychiatric/mental health nurse practitioner in Brewer, ME. CHOOSE YOUR ROAD NPI is 1780480590. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12 ACME RD STE 102
BREWER, ME
ZIP 04412-546
Phone: (207) 478-0653

The provider's authorized official is Leane Marie Cyr .
The authorized official title is Member and has the following contact phone number (207) 478-0653.

The enumeration date for this NPI number is 2/21/2025 and was last updated on 2/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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