PUNAM TRIVEDE, APN
Nurse Practitioner - Family
Active
Individual
NPI: 1790258473
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Adult Health | 363LA2200X | No | 209018588 (IL) |
| Nurse Practitioner - Family | 363LF0000X | Yes | 209018588 (IL) |
Frequently Asked Questions
NPI 1790258473 is the National Provider Identifier for PUNAM TRIVEDE, APN, a Nurse Practitioner - Family provider located in Peoria, IL. This NPI was enumerated on January 6, 2019.
PUNAM TRIVEDE, APN practices at 711 W JOHN GWYNN AVE, Peoria, IL 61605.
Quick Facts
- NPI
- 1790258473
- Type
- Individual
- Enumerated
- Jan 6, 2019
- Last Updated
- Jul 6, 2023
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