Individual
CALLIE ALEXA PELLEGRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N MAPLE AVE, PURCELLVILLE, VA 20132-6100
(540) 338-0032
Mailing address
200 N MAPLE AVE, PURCELLVILLE, VA 20132-6100
(540) 338-0032
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30018164800001
—
VA
Enumeration date
06/07/2024
Last updated
04/18/2026
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