Provider Demographics
NPI:1477746212
Name:MAGNAYON, SHEILLA CALDITO (RN)
Entity Type:Individual
Prefix:MRS
First Name:SHEILLA
Middle Name:CALDITO
Last Name:MAGNAYON
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 1:1089 LONGSHORE DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-3850
Mailing Address - Country:US
Mailing Address - Phone:408-977-1348
Mailing Address - Fax:
Practice Address - Street 1:1089 LONGSHORE DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-3850
Practice Address - Country:US
Practice Address - Phone:408-977-1348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA627366163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse