CYNTHIA ELLEN DUBIN CNM FNP NPI 1730280470

NPI Information

NPI: 1730280470
Provider Name: CYNTHIA ELLEN DUBIN, CNM, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
80 JESSE HILL JR DR SE # 26105
GRADY HEALTH SYSTEM, GYN/OB CLINIC
ATLANTA, GA
ZIP 30303
Phone: (404) 616-4898
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Cynthia Ellen Dubin, CNM, FNP is a family nurse practitioner in Atlanta, GA. Cynthia Ellen Dubin, CNM, FNP NPI is 1730280470. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

80 JESSE HILL JR DR SE # 26105
GRADY HEALTH SYSTEM, GYN/OB CLINIC
ATLANTA, GA
ZIP 30303-031
Phone: (404) 616-4898
Fax: (404) 616-2904

The NPI 1730280470 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 9/26/2006 and was last updated on 7/9/2007.

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
1	363LF0000X	Nurse Practitioner	Family	RN129528	GEORGIA	Yes
2	367A00000X	Advanced Practice Midwife		RN129528	GEORGIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0360295	OTHER		FNP CERT. 9/2006-8/2011
2	10265	OTHER		ACNM CERTIFICATION NUMBER
3	00912832A	MEDICAID	GEORGIA
4	RN129528	OTHER	GEORGIA	RN LICENSE-CNM

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: 4/28/2024

NPI Synchronization or Removal

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