NPI 1003169053

Neil Peterson

Practitioner Nurse Practitioner Provo, UT

Practice location

Address: 500 Spencer W Kimball Tower Bldg Kmbl, Provo, UT 84602-4704
Phone: (801) 422-4893
Fax: (801) 422-4893

Registered specialties (2)

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 9115286-4405 (UT)

Other Nurse Practitioner providers in Utah →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 0024169615 (VA)

Registry record

NPI: 1003169053
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2012
Record last updated: 30 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.