OrganizationActive
Custommadeimagehealth and Wellness
NPI 1417730631 · Adult Psychiatric/Mental Health Registered Nurse · Allen, TX
Provider details
- NPI number
- 1417730631
- Entity type
- Organization
- Primary specialty
- Adult Psychiatric/Mental Health Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Tonya Williams, Nurse Practitioner(214) 945-3702
Specialties & taxonomies
Nursing Service Providers
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
825 Watters Creek Blvd Ste 250
Allen, TX 75013-3770
Phone: (214) 945-3702
Approximate (ZIP-level) locationGet directions
Mailing address
1972 Sunny Side Dr
Little Elm, TX 75068-7803
Registry dates
- Enumerated
- 2023-08-14
- Last updated
- 2023-08-14
- Certified
- 2023-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.