Healthcare Provider Details

I. General information

NPI: 1871404004
Provider Name (Legal Business Name): MARILYN TALIGATOS SITCHON RN BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARILYN SITCHON RN BSN

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 E CLINTON AVE
FRESNO CA
93703-2223
US

IV. Provider business mailing address

795 SERENA AVE
CLOVIS CA
93619-7569
US

V. Phone/Fax

Practice location:
  • Phone: 559-333-2304
  • Fax:
Mailing address:
  • Phone: 559-333-2304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number680163
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: