Search › Illinois › 363LF0000X
Punam Trivede, APN
NPI 1790258473 · on the registry since 2019
Practice
- Address
- 711 W John Gwynn Ave
Peoria, IL 61605 - Phone
- (309) 680-7600
- Fax
- (309) 671-2188
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LA2200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois