Provider Demographics
NPI:1548256761
Name:DAKIN, CYNTHIA OBRIEN (MN FNPC)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:OBRIEN
Last Name:DAKIN
Suffix:
Gender:F
Credentials:MN FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MONCRIEF ARMY COMMUNITY HOSPITAL
Mailing Address - Street 2:4500 STEWART ST FORT JACKSON
Mailing Address - City:APO
Mailing Address - State:AA
Mailing Address - Zip Code:29207-5720
Mailing Address - Country:US
Mailing Address - Phone:803-751-6475
Mailing Address - Fax:803-751-5242
Practice Address - Street 1:4575 STEWART ST.
Practice Address - Street 2:MONCRIEF ARMY COMMUNITY HOSPITAL TMC
Practice Address - City:FORT JACKSON
Practice Address - State:SC
Practice Address - Zip Code:29207-5720
Practice Address - Country:US
Practice Address - Phone:803-751-8588
Practice Address - Fax:803-751-5242
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2025-02-18
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2007-08-06
Provider Licenses
StateLicense IDTaxonomies
SCAPN 791363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCS55193Medicare UPIN