FAWN LEA MUNRO
Debarred entityBorn 25 Nov 1983 (42 years old),United States. Named in 6 sanctions listings.
Summary
License number: L1-0070435 ; LH-0010266
Sanctions and listings6
- Effective
- 20 Oct 2024
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
- Effective
- 27 Mar 2023; 12 Jun 2024; 10 May 2024
Official designation
Michigan Department of Health & Human ServicesUS Michigan Medicaid Sanctioned Provider ListUnited States
Summary Suspension Summary Suspension Terminated
- Listed
- 8 Jan 2025
- Effective
- 27 Dec 2024
Reciprocal
OPMUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Debarment or Suspension by the U.S. Office of Personnel Management under the authority of 5 U.S.C. 8902a and implementing regulations at 5 CFR Part 890, Subpart J, excludes health care providers from participation in the Federal Employees Health Benefits Program (FEHBP). Debarred or suspended health care providers are prohibited from receiving payment, directly or indirectly, from FEHBP funds for items or services furnished to an employee, annuitant, family member, or former spouse covered by a federal health benefits plan.
- Effective
- 20 Oct 2024
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
- Effective
- 19 Mar 2025
Official designation
Before The Delaware Board of NursingUS Delaware Medicaid Sanctioned ProvidersUnited States
RN license / Women's Health /Gender-Related Nurse Practitioner license issued by the Delaware Board of Nursing is permanently revoked.
- Effective
- 20 Oct 2024
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128a1
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
Positions held2
Period not retained
NURSE PRACTITIONER ( (IND- LIC HC SERV PRO)
Period not retained
RN/APRN
Identifiers2
| Identifier | Number |
|---|---|
| ID number | 00421486 |
| NPI number | 1174803233 |
Other names3
Also known as3
Addresses4
ALPENA, MI 49707
115 GLENRIDGE ST, ALPENA, MI 49707
115 GLENRIDGE STREET, ALPENA, MI 49707
Freeland, MI
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