Healthcare Provider Details

I. General information

NPI: 1053351940
Provider Name (Legal Business Name): CYNTHIA R DUBLIN-MORIN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 12/21/2020
Certification Date: 12/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 WATER ST
BLUE HILL ME
04614-5231
US

IV. Provider business mailing address

57 WATER ST
BLUE HILL ME
04614-5231
US

V. Phone/Fax

Practice location:
  • Phone: 207-374-3940
  • Fax:
Mailing address:
  • Phone: 207-374-3940
  • Fax: 207-563-4103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN22911,CNM112012
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: