Linda R. Custer, F.N.P
Nurse Practitioner, Family in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1124359302
StatusActive
Last updated in NPPESJan 27, 2010
Details
- NPI
- 1124359302
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Linda R. Custer
- Credential
- F.N.P
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 27, 2010
- Last updated
- Jan 27, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1763398900 | UT | Yes |
Practice location
1110 W 3300 SSalt Lake City, UT 84119-3330
Phone 801-433-2900
Mailing address
1110 W 3300 SSalt Lake City, UT 84119-3330
Phone 801-433-2900
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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