NEIL PETERSON

Nurse Practitioner

Active Individual
NPI: 1003169053

Practice Address

500 SPENCER W KIMBALL TOWER BLDG KMBL
Provo, UT 84602

Phone: (801) 422-4893

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X No 0024169615 (VA)

Frequently Asked Questions

NPI 1003169053 is the National Provider Identifier for NEIL PETERSON, a Nurse Practitioner provider located in Provo, UT. This NPI was enumerated on October 16, 2012.
NEIL PETERSON practices at 500 SPENCER W KIMBALL TOWER BLDG KMBL, Provo, UT 84602.

Quick Facts

NPI
1003169053
Type
Individual
Enumerated
Oct 16, 2012
Last Updated
Oct 30, 2025

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