Provider Demographics
NPI:1083591663
Name:TIMMA, LILIANE NYONGLEMUGA (NURSE)
Entity type:Individual
Prefix:MS
First Name:LILIANE
Middle Name:NYONGLEMUGA
Last Name:TIMMA
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:MS
Other - First Name:LILIANE
Other - Middle Name:NYONGLEMUGA
Other - Last Name:NJINDANGAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NURSE
Mailing Address - Street 1:701 TRENTON DR # A
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:TX
Mailing Address - Zip Code:76227-1242
Mailing Address - Country:US
Mailing Address - Phone:469-684-8082
Mailing Address - Fax:
Practice Address - Street 1:701 TRENTON DR # ANA
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:TX
Practice Address - Zip Code:76227-1242
Practice Address - Country:US
Practice Address - Phone:469-684-8082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX022874376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker