Individual provider · Type 1 NPI
Neil Peterson
Nurse Practitioner · Provo, UT
Practice location
500 Spencer W Kimball Tower Bldg Kmbl
Provo, UT 84602-4704
Fax (801) 422-4893
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 9115286-4405 (UT) |
| Nurse Practitioner | 363L00000X | 0024169615 (VA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1003169053
Neil Peterson's National Provider Identifier is 1003169053, issued on Oct 16, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Provo, UT. The record was last updated on Oct 30, 2025.