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

Travis Dale Peterson, NP

Individual provider Neonatal Nurse Practitioner · NPI 1467195552

Travis Dale Peterson, NP is a Neonatal Nurse Practitioner in Provo, Utah. Licensed in Utah. Registered with an NPI since 2022.

Licensed in
UT
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1034 N 500 W
Provo, UT 84604-3380
Phone: (801) 357-7414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence 8058003-4405 (UT)

Record details

NPI number1467195552
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 15, 2022
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026

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