Provider Demographics
NPI:1679917314
Name:EINHORN, DARRYL LYN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:DARRYL
Middle Name:LYN
Last Name:EINHORN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:DARRYL
Other - Middle Name:LYN
Other - Last Name:MARKOWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8525 ROLLING RD STE 200
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-3648
Mailing Address - Country:US
Mailing Address - Phone:703-257-2266
Mailing Address - Fax:703-257-2269
Practice Address - Street 1:8525 ROLLING RD
Practice Address - Street 2:SUITE 200
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-3647
Practice Address - Country:US
Practice Address - Phone:703-257-2266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110004102363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant