Individual
KRISTA PUFUNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-7222
(309) 655-2000
Mailing address
2523 SILVER LOCH RD, NAPERVILLE, IL 60563-3607
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.012933
IL
Other
Enumeration date
03/13/2015
Last updated
06/27/2024
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