Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | PETRIE ODETTA RICE · RICE PETRIE ODETTA | [sources] | |||
Birth date | [sources] | ||||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | PETRIE | [sources] | |||
ID Number | 00239341 | [sources] | |||
Last name | RICE | [sources] | |||
Middle name | ODETTA | [sources] | |||
NPI | 1497044051 | [sources] | |||
Sector | Licensed Practical Nurse | [sources] | |||
Position | NURSE/NURSES AIDE (IND- LIC HC SERV PRO) | [sources] | |||
Address | 3928 ROPERS RANCH ST, NORTH LAS VEGAS, NV 89032 | [sources] | |||
Last change | Last processed | First seen |
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States of America · OMIG
People and companies excluded from Federally funded health care programs
United States of America · OIG
us-medny-2caa09a8d50d8818f4d630280bb81df94305b966
· us-fed-excl-petrie-odetta-rice-89032-north-las-vegas
For experts: raw data explorer
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United States of America | New York State Office of the Medicaid Inspector General | - | - |