Provider Demographics
NPI:1679057202
Name:FURROW, CORTNEY L (LPN)
Entity type:Individual
Prefix:
First Name:CORTNEY
Middle Name:L
Last Name:FURROW
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6509 E OSBORN RD # M211
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6047
Mailing Address - Country:US
Mailing Address - Phone:480-560-7125
Mailing Address - Fax:
Practice Address - Street 1:6509 E OSBORN RD # M211
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6047
Practice Address - Country:US
Practice Address - Phone:480-560-7125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLP054746164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse