Individual
SHAINA MARISSA WILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-5123
(775) 982-5470
Mailing address
1155 MILL ST # MSM14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A159074
CA
2080P0207X
Pediatric Hematology & Oncology Physician
A159074
CA
2080P0214X
Pediatric Pulmonology Physician
Primary
29058
NV
2080P0214X
Pediatric Pulmonology Physician
Primary
A159074
CA
Other
Enumeration date
04/12/2011
Last updated
04/28/2026
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