1548256761 NPI number — MRS. CYNTHIA OBRIEN DAKIN MN FNPC

Table of content: MRS. CYNTHIA OBRIEN DAKIN MN FNPC (NPI 1548256761)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548256761 NPI number — MRS. CYNTHIA OBRIEN DAKIN MN FNPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DAKIN
Provider First Name:
CYNTHIA
Provider Middle Name:
OBRIEN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MN FNPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548256761
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/19/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
07/17/2007
NPI Reactivation Date:
08/06/2007

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
MONCRIEF ARMY COMMUNITY HOSPITAL
Provider Second Line Business Mailing Address:
4575 8TH DIVISION ROAD, FORT JACKSON
Provider Business Mailing Address City Name:
APO
Provider Business Mailing Address State Name:
AA
Provider Business Mailing Address Postal Code:
29207-5720
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-751-6789
Provider Business Mailing Address Fax Number:
803-751-5242

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4500 8TH DIVISION RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29207-5700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-751-6789
Provider Business Practice Location Address Fax Number:
803-751-5242
Provider Enumeration Date:
09/22/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  APN 791 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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