Provider Demographics
NPI:1306812706
Name:SAAR, DARLENE ANN (PAC)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:ANN
Last Name:SAAR
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:DARLENE
Other - Middle Name:
Other - Last Name:GRAYBEAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:21075 MILL BRANCH DR
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-6368
Mailing Address - Country:US
Mailing Address - Phone:703-587-7120
Mailing Address - Fax:
Practice Address - Street 1:21075 MILL BRANCH DR
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-6368
Practice Address - Country:US
Practice Address - Phone:703-587-7120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110001765363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010374L19Medicare PIN
Q27278Medicare UPIN