Individual provider · Type 1 NPI
Miranda Mary Brennan
Nurse Practitioner · Ogden, UT
Practice location
4401 Harrison Blvd
Ogden, UT 84403-3195
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 11601751-3102 (UT) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1003779794
Miranda Mary Brennan's National Provider Identifier is 1003779794, issued on Dec 8, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ogden, UT. The record was last updated on Mar 4, 2026.