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Clint Peterson, APRN

NPI 1063642510 · on the registry since 2009

Practice

Address
5600 Heritage School Dr
Provo, UT 84604
Phone
(801) 226-4659
Fax
(801) 705-5362
Clinicians at this address
5

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
163W00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah