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RYAN WILLIAM ALLEN-BRADY — OIG Excluded Provider (PHOENIX, AZ, 1128b4)

RYAN WILLIAM ALLEN-BRADY — OIG Excluded Provider (PHOENIX, AZ, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: RYAN WILLIAM ALLEN-BRADY; Type: Individual; Provider category: IND- LIC HC SERV PRO.

NameRYAN WILLIAM ALLEN-BRADY
TypeIndividual
Provider categoryIND- LIC HC SERV PRO
SpecialtyNURSE/NURSES AIDE
NPI1134691173
CityPHOENIX
StateAZ
ZIP85003
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2025-08-20
SourceHHS-OIG LEIE

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