Provider Demographics
NPI:1164138400
Name:SCARBRO, HOLLIE (APRN, RN)
Entity Type:Individual
Prefix:
First Name:HOLLIE
Middle Name:
Last Name:SCARBRO
Suffix:
Gender:F
Credentials:APRN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5557 BENNION DR
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-3223
Mailing Address - Country:US
Mailing Address - Phone:606-367-1439
Mailing Address - Fax:
Practice Address - Street 1:5557 BENNION DR
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818-3223
Practice Address - Country:US
Practice Address - Phone:606-367-1439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIHI-97900163W00000X
KY1141381163W00000X
HIAPRN-3837-0363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse