Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Callie Ellis

Individual provider Contractor · NPI 1417392192

Callie Ellis is a Contractor in Glen Allen, Virginia. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

4991 Lake Brook Dr Ste 300
Glen Allen, VA 23060-9293
Phone: (804) 837-4578
Fax: (855) 849-1894
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1417392192
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 8, 2013
Last updated in NPPESMay 8, 2013
Mailing address4991 Lake Brook Dr Ste 300, Glen Allen, VA 23060-9293

Other providers in Glen Allen