Travis Dale Peterson
RN | Nurse Practitioner - Neonatal
1034 N 500 W, Provo
Utah, 84604-3380
801-357-7414
Travis Dale Peterson is a Provo, Utah based nurse practitioner who is specialized as Neonatal nurse. Active license number of Travis Dale Peterson is 8058003-4405 for Neonatal in Utah. His current practice location is 1034 N 500 W, Provo. Patients can reach him at 801-357-7414. Travis Dale Peterson is RN with specialization in Neonatal and his NPI number (Unique professional ID assigned by NPPES) is 1467195552.
Travis Dale Peterson serve as primary caregivers to newborns. His duties include performing essential diagnostic tests, monitoring specialized neonatal equipment, dispensing medications, ensuring proper feeding and basic care.
Neonatal Nurse Practitioner (NNPs) work under the direction of a neonatal fellow or neonatologist. They care for premature and sick newborns in neonatal intensive care units (NICU), delivery rooms, and emergency rooms. They are the link between the doctors and families of the newborns in times of extreme stress. They also provide education and support to patients’ families.
Complete Profile:
Travis Dale Peterson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Travis Dale Peterson |
| Specialization: | Neonatal Nurse Practitioner (NNP) |
| Gender: | Male |
| Credentials: | RN |
| Practice Address: | 1034 N 500 W, Provo,
Utah, 84604-3380 |
| Phone: | 801-357-7414 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1467195552 |
| NPI Enumeration Date: | 15 Apr, 2022 |
| NPI Last Update On: | 09 Jan, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Travis Dale Peterson are as mentioned below.
| License Number | Specialization | State | Status | |
| 8058003-4405 | Neonatal | Utah | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Travis Dale Peterson
Po Box 27128,
Salt Lake City, Utah |
| Zip: | 84127-0128 |
Patients can reach Travis Dale Peterson at
1034 N 500 W, Provo, Utah or can
call to book an appointment on 801-357-7414.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.