| NPI | 1538482773 |
|---|---|
| Professional Name | EDDIE A MANLEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006470) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 15072) |
| 363L00000X Nurse Practitioner (Licence: NC 5005075) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3006470) | |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2018-04-29 |