Individual
MARIA JOHNSTON DERRYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
65-1158 MAMALAHOA HWY STE 8A, KAMUELA, HI 96743-8442
(808) 740-5700
(808) 442-0891
Mailing address
65-1158 MAMALAHOA HWY SUITE 8A PMB 157, KAMUELA, HI 96743-8442
(808) 740-5700
(808) 442-0891
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP8329
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN-1346
HI
Other
Enumeration date
04/26/2011
Last updated
05/28/2021
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