Lillykutty A Modoor, NURSE PRACTITIONER is a psychiatric/mental health nurse practitioner in Winston Salem, NC with 12 years of experience. Lillykutty A Modoor, NURSE PRACTITIONER NPI is 1013155969. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
650 HIGHLAND AVE STE 100
WINSTON SALEM, NC
ZIP 27101-304
Phone: (336) 607-8523
Fax: (336) 773-0916
The NPI 1013155969 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/30/2009 and was last updated on 12/2/2020.