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

Miranda Mary Brennan

Individual provider Nurse Practitioner · NPI 1003779794

Miranda Mary Brennan is a Nurse Practitioner in Ogden, Utah. Licensed in Utah. Registered with an NPI since 2025.

Licensed in
UT
In the registry since
2025
Specialties on file
2

Practice location Address checks out

4401 Harrison Blvd
Ogden, UT 84403-3195
Phone: (385) 405-6058
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11601751-3102 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003779794
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 8, 2025
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

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