Person
Screen this subjectAbby N Fredrickson
Debarred entityUnited States. Named in 3 sanctions listings.
Sanctions and listings3
- Effective
- 7 Jan 2026
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
- Effective
- 24 Nov 2025
Official designation
Michigan Department of Health & Human ServicesUS Michigan Medicaid Sanctioned Provider ListUnited States
Summary Suspension
- Effective
- 23 Jan 2026
Official designation
South Carolina Department of Health and Human ServicesUS South Carolina Excluded ProvidersUnited StatesTerminated for cause
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1376063370 |
Other names1
Also known as1
Fredrickson, Abby
Addresses3
Duluth, MN 55805
Moorhead, MI
1175 SOUTHWOOD DRIVE, ISHPEMING, MI 49849
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