STACIE LYNNE WATTENDORF
Debarred entityBorn 25 Jan 1981 (45 years old),United States. Named in 3 sanctions listings.
Sanctions and listings3
- Effective
- 20 May 2014
Official designation
North Dakota Health and Human ServicesUS North Dakota Medicaid Terminated Provider ListUnited States
Reciprocal to OIG Exclusion
- Listed
- 28 May 2014
- Effective
- 20 May 2014
Reciprocal
HHSUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Excluded by the Department of Health and Human Services pursuant to section 1128 or other sections of the Social Security Act from participation in all Federal health care programs (the scope and effect of Federal health care program exclusions is described in 42 C.F.R. section 1001.1901).
- Effective
- 20 May 2014
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
Period not retained
NURSE/NURSES AIDE (IND- LIC HC SERV PRO)
Identifiers1
| Identifier | Number |
|---|---|
| ID number | L13524 |
Other names1
Also known as1
Addresses3
P O BOX 546, SURREY, ND 58785
SURREY, ND 58785
PO Box 546, Surrey, ND 58785
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