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Individual

MR. BERNARD WILLIAM MANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
7500 MERCY RD STE 1355, OMAHA, NE 68124-2319
(402) 717-4909
(402) 717-6068
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 717-4909
(402) 717-6068

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100773
NE
367500000X
Certified Registered Nurse Anesthetist
CR000345
SD
367500000X
Certified Registered Nurse Anesthetist
D074395
IA

Other

Enumeration date
01/22/2010
Last updated
11/07/2017
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