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FAWN LEA MUNRO

Debarred entity

FAWN LEA MUNRO is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	FAWN LEA MUNRO · Fawn Munro · MUNRO FAWN LEA · MUNRO, FAWN LEA a/k/a				[sources]
Other name	Jones, Fawn · Montroy, Fawn · Orban, Fawn · Phimmaloune, Jennifer				[sources]
Birth date	1983-11-25				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
First name	Fawn				[sources]
ID Number	`00421486`				[sources]
Last name	Munro				[sources]
Middle name	LEA				[sources]
NPI	`1174803233`				[sources]
Registration number	`1174803223` · `95017013` · `95229000`				[sources]
Sector	Nurse Practitioner · Nurse Practitioner Furnishing · Nurse Practitioner-Womens Health · RN · Registered Nurse				[sources]
Unique Entity ID	`YYSKU4UEMY35`				[sources]
Position	NURSE PRACTITIONER ( (IND- LIC HC SERV PRO)				[sources]
Address	115 GLENRIDGE ST, ALPENA, MI 49707 · 115 GLENRIDGE STREET, ALPENA, MI 49707 · 115 Glenridge St. Alpena, MI 49707 · ALPENA, MI 49707, USA · Freeland, MI				[sources]
Last change	2025-11-03	Last processed	2025-11-03	First seen	2024-09-23

Relationships

Sanctions
Country	Authority	Program	Start date	End date
United States	Department of Health Care Services		2025-03-20	-

Address
Full address	Country
115 GLENRIDGE STREET, ALPENA, MI 49707	United States

Data sources

US Michigan Medicaid Sanctioned Provider List3,927

Providers who have been terminated for cause from Michigan's Medicaid program.

United States · MDHHS

US California Medicaid Suspended and ineligible providers23,294

Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.

United States · DHCS

US Health and Human Sciences Inspector General Exclusions80,983

People and companies excluded from Federally funded health care programs

United States · OIG

US New Jersey Ineligible Medicaid Providers7,269

Medical providers disqualified from participating in New Jersey State's Medicaid program.

United States · OIFP

US New York State Medicaid Exclusions8,701

Medical providers deemed ineligible to participate in New York State's Medicaid program.

United States · OMIG

US SAM Procurement Exclusions105,495

A database of suppliers who have been excluded from participating in US federal procurement.

United States · GSA

Source data IDs: us-mednj-d5ae70d86aa8604c65e402be3f95e421bb755ffa · us-medmi-da5d0515c75a514bbe339eb941aa88f7ee9f9114 · us-medny-4992faa09acb000ea89ff1182539ebbadc47e59d · us-fed-excl-fawn-lea-munro-49707-alpena · us-mednj-8a49e806c0be9986d10b2a5b728b73510b7d20d8 · us-medca-48ef4083bcd9da5a3697ec2defc71edb8e3dcf1a · us-mednj-6cdd10ce7d818c7d217f943821b60f705fd41985

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Factsheet Data sources

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