Basic Information
| Provider Information | |||||||||
| NPI: | 1053351940 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DUBLIN-MORIN | ||||||||
| FirstName: | CYNTHIA | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 57 WATER ST | ||||||||
| Address2: | |||||||||
| City: | BLUE HILL | ||||||||
| State: | ME | ||||||||
| PostalCode: | 046145231 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2073743940 | ||||||||
| FaxNumber: | 2075634103 | ||||||||
| Practice Location | |||||||||
| Address1: | 57 WATER ST | ||||||||
| Address2: | |||||||||
| City: | BLUE HILL | ||||||||
| State: | ME | ||||||||
| PostalCode: | 046145231 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2073743940 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2006 | ||||||||
| LastUpdateDate: | 12/21/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/21/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367A00000X | RN22911,CNM112012 | ME | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
ID Information
| ID | Type | State | Issuer | Description | 1053351940 | 05 | ME | MEDICAID |