C SCOT MCCUSKER LPN NPI 1134870405

NPI Information

  • NPI: 1134870405
  • Provider Name: C SCOT MCCUSKER, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 344 E 100 S STE 301
    SALT LAKE CITY, UT
    ZIP 84111
  • Phone: (801) 428-4257

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NPI Details

C Scot Mccusker, LPN is a licensed practical nurse in Salt Lake City, UT. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. C Scot Mccusker, LPN NPI is 1134870405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

344 E 100 S STE 301
SALT LAKE CITY, UT
ZIP 84111-727
Phone: (801) 428-4257

The enumeration date for this NPI number is 1/18/2022 and was last updated on 1/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical Nurse12476182-3101UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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