Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Destiny Astin Manner

Individual provider Physician Assistant · NPI 1841003787

Destiny Astin Manner is a Physician Assistant in Ogden, Utah. Qualified in 2024, 2 years ago. Licensed in Utah.

Years since qualifying
2
Licensed in
UT
In the registry since
2025

Practice location Address checks out

3959 Stadium Way Dept 3913
Ogden, UT 84408-0001
Phone: (801) 921-3289
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (UT)

Record details

NPI number1841003787
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 27, 2025
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025
Mailing address3959 Stadium Way Dept 3913, Ogden, UT 84408-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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