Provider Demographics
NPI:1073901823
Name:FURLONG, DAWNYEL
Entity Type:Individual
Prefix:
First Name:DAWNYEL
Middle Name:
Last Name:FURLONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16394 SAMUEL PAYNTER BLVD UNIT 103
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:DE
Mailing Address - Zip Code:19968-3560
Mailing Address - Country:US
Mailing Address - Phone:302-382-2768
Mailing Address - Fax:
Practice Address - Street 1:19287 MILLER RD UNIT 2
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-6124
Practice Address - Country:US
Practice Address - Phone:302-408-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-02
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0041422163W00000X
DELG-0011640363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse