Provider Demographics
NPI:1346389699
Name:DISCAYA, MARGIE YU (NP)
Entity Type:Individual
Prefix:
First Name:MARGIE
Middle Name:YU
Last Name:DISCAYA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 S. PINE STREET
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-1972
Mailing Address - Country:US
Mailing Address - Phone:864-327-1510
Mailing Address - Fax:864-327-1662
Practice Address - Street 1:103 S. PINE STREET
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-1972
Practice Address - Country:US
Practice Address - Phone:864-327-1510
Practice Address - Fax:864-327-1662
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3043363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health