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ASHLEY NICHOLE ANDERSON — OIG Excluded Provider (GLENDALE, AZ, 1128b4)

ASHLEY NICHOLE ANDERSON — OIG Excluded Provider (GLENDALE, AZ, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: ASHLEY NICHOLE ANDERSON; Type: Individual; Provider category: IND- LIC HC SERV PRO.

NameASHLEY NICHOLE ANDERSON
TypeIndividual
Provider categoryIND- LIC HC SERV PRO
SpecialtyNURSE/NURSES AIDE
CityGLENDALE
StateAZ
ZIP85304
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2012-10-18
SourceHHS-OIG LEIE

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