Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Taila Fawn Custred

Individual provider Registered Nurse · NPI 1447050679

Taila Fawn Custred is a Registered Nurse in Parrish, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2025

Practice location Address checks out

4718 Cedar Lake Rd
Parrish, AL 35580-6130
Phone: (205) 388-8254
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 1125678 (AL)

Record details

NPI number1447050679
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 17, 2025
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025
Mailing address4718 Cedar Lake Rd, Parrish, AL 35580-6130

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