Provider Demographics
NPI:1942789557
Name:CARRAHER, DARIN LINN (PA-C)
Entity Type:Individual
Prefix:
First Name:DARIN
Middle Name:LINN
Last Name:CARRAHER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 FLEMMING DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-5281
Mailing Address - Country:US
Mailing Address - Phone:908-432-3022
Mailing Address - Fax:
Practice Address - Street 1:59 EAST AVE
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-5667
Practice Address - Country:US
Practice Address - Phone:207-784-1680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-14
Last Update Date:2019-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPA1845363A00000X
NJ25MP00488100363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant