Clint W Peterson, APRN is a psychiatric/mental health nurse practitioner in Provo, UT with 12 years of experience. Clint W Peterson, APRN NPI is 1063642510. 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:
750 N 200 W
PROVO, UT
ZIP 84601-677
Phone: (801) 373-9656
The NPI 1063642510 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Psychiatric diagnostic evaluation with medical services (HCPCS:90792)
The enumeration date for this NPI number is 7/17/2009 and was last updated on 5/27/2014.