Neil Peterson
Neil Peterson is a Nurse Practitioner in Provo, Utah. Practices as a sole proprietor. Licensed in Utah and Virginia.
- Licensed in
- UT, VA
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
500 Spencer W Kimball Tower Bldg KmblProvo, UT 84602-4704
Phone: (801) 422-4893
Fax: (801) 422-4893
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 9115286-4405 (UT) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence 0024169615 (VA) |
Record details
| NPI number | 1003169053 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 16, 2012 |
| Last updated in NPPES | October 30, 2025 |
| Certification date | October 30, 2025 |
| Mailing address | 500 Spencer W Kimball Tower Bldg Kmbl, Provo, UT 84602-4704 |
Other providers in Provo
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Mr. Kraig Lynn Packer, NPC
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MS. Dori Patterson, NP-C
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Riley Wayne Petersen, PMHNP
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Ryan Pulham, NP
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Nicole L Rawle, APRN
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Barrett Raymond, FNP-BC
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