Provider Demographics
NPI:1427921683
Name:CHILLON, MARYLINE JEANNE (RN)
Entity type:Individual
Prefix:
First Name:MARYLINE
Middle Name:JEANNE
Last Name:CHILLON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:792 MAYTEN TREE CT
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-8643
Mailing Address - Country:US
Mailing Address - Phone:669-220-9952
Mailing Address - Fax:
Practice Address - Street 1:792 MAYTEN TREE CT
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-8643
Practice Address - Country:US
Practice Address - Phone:669-220-9952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95420037163WR0400X, 163WW0000X
CACPT-02009785246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Single Specialty
No163WR0400XNursing Service ProvidersRegistered NurseRehabilitation
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy