Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAILA FAWN CUSTRED
Active Sole ProprietorTAILA FAWN CUSTRED is a Registered Nurse healthcare provider located in PARRISH, Alabama. NPI 1447050679 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · PARRISH, AL
Registration Details
- NPI Number
- 1447050679
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 17, 2025 (1.4135648895213 yrs)
- Last Updated
- Mar 17, 2025
- License
-
1125678 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4718 CEDAR LAKE RDPARRISH, AL, 355806130Browse AL providers · Browse ZIP 35580
- Phone
- 2053888254
- Primary Specialty
-
Registered Nurse
163W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.