Provider Demographics
NPI:1124773817
Name:YARBERRY, ECHO HAHN
Entity type:Individual
Prefix:
First Name:ECHO
Middle Name:HAHN
Last Name:YARBERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 488
Mailing Address - Street 2:
Mailing Address - City:KURTISTOWN
Mailing Address - State:HI
Mailing Address - Zip Code:96760-0488
Mailing Address - Country:US
Mailing Address - Phone:808-640-5770
Mailing Address - Fax:
Practice Address - Street 1:246 ULULANI ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2629
Practice Address - Country:US
Practice Address - Phone:808-969-7848
Practice Address - Fax:808-969-1430
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMW-3176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife