MEDICARE: COBI DESILVA DNP, FNP-BC

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	363LF0000X	Family Nurse Practitioner	APRN-5333	HI

General Provider Information

NPI Number	:	1336031954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COBI DESILVA DNP, FNP-BC

Provider Business Mailing Address
First Line	:	94-110 ALAKE ST
Second Line	:
City	:	MILILANI
State	:	HI
Zip	:	96789-2560
Country	:	US
Telephone Number	:	808-221-1102
Fax Number	:

Provider Business Practice Location Address
First Line	:	99-128 AIEA HEIGHTS DR STE 701
Second Line	:
City	:	AIEA
State	:	HI
Zip	:	96701-3940
Country	:	US
Telephone Number	:	808-888-3311
Fax Number	:

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

Provider Enumeration Date	:	07/17/2025
Last Update Date	:	07/17/2025

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