Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clint W Peterson, APRN

Individual provider Registered Nurse · NPI 1063642510

Clint W Peterson, APRN is a Registered Nurse in Provo, Utah. Licensed in Utah. Registered with an NPI since 2009.

Licensed in
UT
In the registry since
2009
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

5600 Heritage School Dr
Provo, UT 84604-7701
Phone: (801) 226-4659
Fax: (801) 705-5362
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5938005-4408 (UT)
Registered Nurse Taxonomy 163W00000X · Licence 5938005-3102 (UT)

Record details

NPI number1063642510
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 17, 2009
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

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