Individual
DESTINY BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, RN
Contact information
Practice address
188 PARKER DR, PRESCOTT, AZ 86303-5555
(928) 925-5857
Mailing address
188 PARKER DR, PRESCOTT, AZ 86303-5555
(928) 925-5857
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
959341
CA
163W00000X
Registered Nurse
RN272552
AZ
Other
Enumeration date
06/26/2025
Last updated
12/08/2025
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