Peter Joseph Clancy
Peter Joseph Clancy is a Nurse Practitioner in Provo, Utah. Qualified in 2025, 1 year ago. Practices with Gadzoom Health LLC, a 22-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 1
- Licensed in
- UT
- In the registry since
- 2026
Practice location Address checks out
73 E 200 N Apt 304Provo, UT 84606-6671
Phone: (469) 264-4639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 11560202-8900 (UT) |
|---|
Record details
| NPI number | 1760337885 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 3, 2026 |
| Last updated in NPPES | March 9, 2026 |
| Certification date | March 9, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Gadzoom Health Llc — 22 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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