Provider Demographics
NPI:1376364331
Name:BORRMANN, YVONNE ANI (MS)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:ANI
Last Name:BORRMANN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ANI
Other - Middle Name:
Other - Last Name:BORRMANN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:45 KAKAWAHIE PL
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-4169
Mailing Address - Country:US
Mailing Address - Phone:808-250-2710
Mailing Address - Fax:
Practice Address - Street 1:221 APUWAI ST
Practice Address - Street 2:
Practice Address - City:HAIKU
Practice Address - State:HI
Practice Address - Zip Code:96708-4811
Practice Address - Country:US
Practice Address - Phone:808-359-4762
Practice Address - Fax:808-419-6501
Is Sole Proprietor?:No
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist