Provider Demographics
NPI:1235630518
Name:NYAHWAI, LILIAN
Entity Type:Individual
Prefix:
First Name:LILIAN
Middle Name:
Last Name:NYAHWAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9100 TEASLEY LN
Mailing Address - Street 2:TRL 80K
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210
Mailing Address - Country:US
Mailing Address - Phone:404-604-4411
Mailing Address - Fax:
Practice Address - Street 1:9100 TEASLEY LN
Practice Address - Street 2:TRL 80K
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-4047
Practice Address - Country:US
Practice Address - Phone:404-604-4411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-22
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX895721163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse