| Destiny Astin Manner, | |
|
3959 Stadium Way Dept 3913, Ogden, UT 84408-0001 | |
| (801) 921-3289 | |
| Not Available |
| Full Name | Destiny Astin Manner |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3959 Stadium Way Dept 3913, Ogden, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841003787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Utah) | Primary |
| Entity Name | Numinus Wellness UT Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265092282 PECOS PAC ID: 2163750688 Enrollment ID: O20190822000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Destiny Astin Manner, 3959 Stadium Way Dept 3913, Ogden, UT 84408-0001 Ph: (801) 921-3289 | Destiny Astin Manner, 3959 Stadium Way Dept 3913, Ogden, UT 84408-0001 Ph: (801) 921-3289 |
Scott B Mckay, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd Ste 1815, Ogden, UT 84403 Phone: 801-732-5900 Fax: 801-732-5988 |
Maranda Lebrecht, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2240 Adams Ave, Ogden, UT 84401 Phone: 801-393-5335 |
Heather D Larson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2240 Adams Ave, Ogden, UT 84401 Phone: 801-393-5355 |
Marlene Stephani, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 3959 Stadium Way, Ogden, UT 84408 Phone: 801-626-7210 |
Samantha Worrall, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Weber State University, Dept 3913, Ogden, UT 84408 Phone: 801-626-7210 |
Michael Todd Browne, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 698 12th St, Ogden, UT 84404 Phone: 801-475-3700 Fax: 801-475-3701 |
Mckenzie Bright, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1066 N 3000 W, Ogden, UT 84404 Phone: 385-501-6052 Fax: 801-820-2849 |