Individual
SHIRLEY ANN FURLONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
VN
Contact information
Practice address
ALHAMBRA SCHOOL DISTRICT NO 68, 4510 N 37TH AVENUE, PHOENIX, AZ 85019
(602) 336-2990
(602) 336-2271
Mailing address
ALHAMBRA SCHOOL DISTRICT NO 68, 4510 N 37TH AVENUE, PHOENIX, AZ 85019
(602) 336-2990
(602) 336-2271
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN054782
AZ
164X00000X
Licensed Vocational Nurse
693674
CA
Other
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
Enumeration date
10/25/2017
Last updated
01/24/2019
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