Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PUNAM SUBHASHCHANDRA TRIVEDE, APN
ActivePUNAM SUBHASHCHANDRA TRIVEDE, APN is a Family Nurse Practitioner healthcare provider located in PEORIA, Illinois. NPI 1790258473 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · PEORIA, IL
Registration Details
- NPI Number
- 1790258473
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 6, 2019 (7.5876618147732 yrs)
- Last Updated
- Jul 6, 2023
- Licenses
-
209018588 (IL)209018588 (IL)
Practice Information
- Address
-
711 W JOHN GWYNN AVEPEORIA, IL, 616052270Browse IL providers · Browse ZIP 61605
- Phone
- 3096807600
- Fax
- 3096712188
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| SHARON A. TEAR | NP | 1538138318 |
| MRS. REBECCA A TODD | FNP-C | 1306899182 |
| SUSANNAH NICHOLSON DINTZIS | FNP | 1902848153 |
| REBECCA SWANSON | C-FNP | 1679515738 |
| MRS. CYNTHIA L.M. SWIGART | CFNP | 1164465449 |
| MICHELLE L BERTKE | APN,CNP | 1710922182 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.