MEDICARE: JYL DELAROSA APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN5332-0	HI

General Provider Information

NPI Number	:	1568336204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JYL DELAROSA APRN

Provider Business Mailing Address
First Line	:	PO BOX 27996
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92198-1996
Country	:	US
Telephone Number	:	808-780-2520
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 ALOHA TOWER DR
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-4815
Country	:	US
Telephone Number	:	808-586-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2025
Last Update Date	:	11/02/2025

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