Andrew Robert Peterson

Debarred entity

Born 19 Apr 1973 (53 years old),United States. Named in 3 sanctions listings.

Screen this subject

Summary

License number: PN267408(PA)

Sanctions and listings3

Effective
18 Apr 2024
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
pa.gov
Effective
18 Apr 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
1128b4
Programme US-HHS-OIGoig.hhs.gov oig.hhs.gov
Effective
18 Apr 2024
Official designation
Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
medicaid.dhss.delaware.gov

Positions held2

Period not retained
NURSE/NURSES AIDE (IND- LIC HC SERV PRO)
Period not retained
LPN

Identifiers2

Identifier	Number
ID number	PN267408
NPI number	1144546409

Other names1

Also known as1

Andrew R. Peterson

Addresses2

SMART COMMUNICATIONS/PADOC/SCI, SAINT PETERSBURG, FL 33733
Indiana, PA

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