SearchUtah363A00000X

Destiny Manner

NPI 1841003787 · on the registry since 2025

Practice

Address
3959 Stadium Way Dept 3913
Ogden, UT 84408
Phone
(801) 921-3289
Clinicians at this address
38

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-27

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