Individual
ALEXIS M MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
201 E MORRISSY DR, ELKHORN, WI 53121-4395
(262) 723-3100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
15464
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100286554
—
WI
Enumeration date
06/26/2024
Last updated
11/04/2024
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