Taila Fawn Custred

Registered Nurse · Parrish, AL

Individual Active NPI

NPI number 1447050679

Practice location

4718 Cedar Lake Rd
Parrish, AL 35580-6130
Phone
(205) 388-8254

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NPI record

NPI
1447050679
Entity type
Individual (Type 1)
Enumeration date
March 17, 2025
Last updated
March 17, 2025
Certified
March 17, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X 1125678 AL

About Taila Custred

Taila Fawn Custred is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 4718 Cedar Lake Rd, Parrish, AL 35580-6130. The NPI number 1447050679 was assigned on March 17, 2025 and the record was last updated on March 17, 2025.

Taila Custred lists a license in the registry: #1125678 (AL) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Taila Fawn Custred?

The NPI number is 1447050679.

What is the phone number of Taila Custred?

The phone number listed for the practice location is (205) 388-8254.

Where is Taila Custred located?

4718 Cedar Lake Rd, Parrish, AL 35580-6130.

What is the taxonomy code for Taila Custred?

The primary taxonomy code is 163W00000X – Registered Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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