# SHIRLEY ANN FURLONG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1396257762
- **Gender:** F
- **Credential:** VN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | LPN054782 | AZ | Yes |
| 164X00000X | Licensed Vocational Nurse | 693674 | CA | — |

## Other

- **Enumeration date:** 10/25/2017
- **Last updated:** 01/24/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1093938441 | AHCCCS | AZ |
| 01 | — | 86-6000510 | AHCCCS ADMINISTRATOR COUNTY OF MARICOPA ALHAMBRA SCHOOL DISTRICT NO 68 | AZ |