Provider Demographics
NPI:1639126444
Name:MARLING, DONNA Y (NP)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:Y
Last Name:MARLING
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 1:403 HILLCREST DR STE E
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29640-1207
Mailing Address - Country:US
Mailing Address - Phone:864-343-1220
Mailing Address - Fax:864-307-8870
Practice Address - Street 1:403 HILLCREST DR STE E
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-1207
Practice Address - Country:US
Practice Address - Phone:864-343-1220
Practice Address - Fax:864-307-8870
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2099363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCAA06077511Medicare ID - Type Unspecified
Q24062Medicare UPIN