Individual provider · Type 1 NPI

Shannon Brennan, NP

Nurse Practitioner · South Ogden, UT

NPI number 1962869552 Active

Practice location

1525 E 6000 S
South Ogden, UT 84405-7144

Fax (801) 337-5809

Mailing address

PO Box 5546
Denver, CO 80217-5546

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X283634-4405 (UT)

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 1962869552

Shannon Brennan, NP's National Provider Identifier is 1962869552, issued on Jan 27, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in South Ogden, UT. The record was last updated on Sep 23, 2026.