Individual
JAMES DAVID MANLEY
Active
Individual
JAMES DAVID MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C002867
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609167030
—
MO
05
—
188083001
—
AR
05
—
200349850A
—
OK
01
—
P01158970
RR
AR
Enumeration date
04/19/2011
Last updated
10/05/2018
Update your record
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