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NPI Code Detail

MEDICARE: WILLIAM D MANLEY FNP-C

MEDICARE:   WILLIAM D MANLEY  FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner15695TN

General Provider Information

NPI Number : 1780983825
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM D MANLEY FNP-C
Provider Business Mailing Address
First Line : 1421 JANIE AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37216-2820
Country : US
Telephone Number : 615-260-1704
Fax Number :
Provider Business Practice Location Address
First Line : 1421 JANIE AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37216-2820
Country : US
Telephone Number : 615-260-1704
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2011
Last Update Date : 03/15/2011

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Directions to “ WILLIAM D MANLEY FNP-C” Practice Location

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