MRS. Mary Alice Modders, FNP is a family nurse practitioner in Los Angeles, CA with 15 years of experience. MRS. Mary Alice Modders, FNP NPI is 1215241682. 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:
8635 W 3RD ST
SUITE 795
LOS ANGELES, CA
ZIP 90048-101
Phone: (310) 423-8350
The NPI 1215241682 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 7/28/2010 and was last updated on 4/21/2011.