Lillykutty Abraham Modoor, NURSE PRACTITIONER is a psychiatric/mental health nurse practitioner in Winston Salem, NC with 12 years of experience. Lillykutty Abraham 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 2/6/2023.