HEATHER ANNE ALFONSO — OIG Excluded Provider (CONWAY, SC, 1128a1)
HEATHER ANNE ALFONSO — OIG Excluded Provider (CONWAY, SC, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: HEATHER ANNE ALFONSO; Type: Individual; Provider category: IND- LIC HC SERV PRO.
| Name | HEATHER ANNE ALFONSO |
|---|---|
| Type | Individual |
| Provider category | IND- LIC HC SERV PRO |
| Specialty | NURSE PRACTITIONER ( |
| NPI | 1841583994 |
| City | CONWAY |
| State | SC |
| ZIP | 29527 |
| Exclusion authority | 1128a1 |
| Exclusion reason | Conviction of program-related crimes |
| Exclusion date | 2020-06-18 |
| Source | HHS-OIG LEIE |
$1499/mo
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