Provider Demographics
NPI:1134912272
Name:CALLOW, ALLISON (APRN, CPNP-PC)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:CALLOW
Suffix:
Gender:F
Credentials:APRN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 GOLDENTREE WAY
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-5173
Mailing Address - Country:US
Mailing Address - Phone:703-964-7245
Mailing Address - Fax:
Practice Address - Street 1:14130 NOBLEWOOD PLZ STE 306
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-1467
Practice Address - Country:US
Practice Address - Phone:703-485-0470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024193095363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics