Individual
ZACHARY MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
300 PROSPERITY LN STE 207, LOGAN, WV 25601-3743
(304) 752-8202
Mailing address
183 E 2ND AVE, WILLIAMSON, WV 25661-3601
(304) 235-2930
(304) 235-0538
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
103957
WV
Other
Enumeration date
08/29/2019
Last updated
08/17/2023
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