Shawna C Willey, MD
Surgery, Surgical Oncology in Fairfax, VA. Individual provider (NPI-1).
NPI number1619976792
StatusActive
Last updated in NPPESDec 15, 2022
Details
- NPI
- 1619976792
- Entity type
- Individual (NPI-1)
- Name
- Shawna C Willey
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2005
- Certification date
- Dec 15, 2022
- Last updated
- Dec 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086X0206X | Surgery, Surgical Oncology | 0101042052 | VA | Yes |
| 2086X0206X | Surgery, Surgical Oncology | 14296 | DC |
Practice location
8081 Innovation Park DrFairfax, VA 22031-4867
Phone 571-472-4724 · Fax 571-472-0241
Mailing address
Po Box 37174Baltimore, MD 21297-3174
Phone 571-423-5699 · Fax 571-423-5698
Other practice locations
3800 Reservoir Rd Nw
Washington, DC 20007-2113
Washington, DC 20007-2113
Phone 202-444-4954
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