Destiny Astin Manner
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 3913Ogden, UT 84408-0001
Phone: (801) 921-3289
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X (UT) |
|---|
Record details
| NPI number | 1841003787 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 27, 2025 |
| Last updated in NPPES | January 27, 2025 |
| Certification date | January 27, 2025 |
| Mailing address | 3959 Stadium Way Dept 3913, Ogden, UT 84408-0001 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
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