TRAVIS DALE PETERSON RN NPI 1467195552

NPI Information

NPI: 1467195552
Provider Name: TRAVIS DALE PETERSON, RN
Classification: Registered Nurse - 163WC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
1034 N 500 W
PROVO, UT
ZIP 84604
Phone: (801) 357-7414
Get Directions

Travis Dale Peterson, RN is a critical care medicine registered nurse in Provo, UT. Travis Dale Peterson, RN NPI is 1467195552. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1034 N 500 W
PROVO, UT
ZIP 84604-380
Phone: (801) 357-7414

The enumeration date for this NPI number is 4/15/2022 and was last updated on 4/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0200X	Registered Nurse	Critical Care Medicine	8058003-3102	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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