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C Scot Mccusker, LPN — NPI 1134870405, Salt Lake City, UT | NPI Central

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NPI 1134870405

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C Scot Mccusker, LPN

NPI 1134870405 · Licensed Practical Nurse · Salt Lake City, UT

Provider details

NPI number: 1134870405
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Credential: LPN
Sex: Male
Sole proprietor: No
License: 12476182-3101 (UT)

Practice location

344 E 100 S Ste 301

Salt Lake City, UT 84111-1727

Phone: (801) 428-4257

More UT providers

Mailing address

344 E 100 S Ste 301

Salt Lake City, UT 84111-1727

Registry dates

Enumerated: 2022-01-18
Last updated: 2022-01-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.