Individual
PAULA MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2680 VERNON DR, GREEN BAY, WI 54304-5374
(920) 496-4700
Mailing address
2680 VERNON DR, GREEN BAY, WI 54304-5374
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39787500
—
WI
Enumeration date
01/26/2007
Last updated
01/06/2012
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