Person

COLLETTE STACIE L

Debarred entity

Born 29 Jan 1971 (55 years old),United States. Named in 2 sanctions listings.

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Sanctions and listings2

  • Effective
    10 Mar 2022

    Official designation

    New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States

    omig.ny.gov

  • Effective
    20 Nov 2022

    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.govoig.hhs.gov

Positions held1

  1. Period not retained

    NURSE/NURSES AIDE (IND- LIC HC SERV PRO)

Identifiers2

IdentifierNumber
ID number00579751
NPI number1487955019

Other names1

Also known as1

STACIE LYNN COLLETTE

Addresses1

  • 603 COUNTY ROUTE 5, DICKINSON CENTER, NY 12930

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