LILLYKUTTY MODOOR, NURSE PRACTITIONER
Nurse Practitioner - Psychiatric/Mental Health
Active
Individual
NPI: 1013155969
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | No | 5004280 (NC) |
| Nurse Practitioner - Family | 363LF0000X | No | 5004280 (NC) |
| Nurse Practitioner - Psychiatric/Mental Health | 363LP0808X | Yes | 5004280 (NC) |
Frequently Asked Questions
NPI 1013155969 is the National Provider Identifier for LILLYKUTTY MODOOR, NURSE PRACTITIONER, a Nurse Practitioner - Psychiatric/Mental Health provider located in Winston Salem, NC. This NPI was enumerated on January 30, 2009.
LILLYKUTTY MODOOR, NURSE PRACTITIONER practices at 650 HIGHLAND AVE STE 100, Winston Salem, NC 27101.
Quick Facts
- NPI
- 1013155969
- Type
- Individual
- Enumerated
- Jan 30, 2009
- Last Updated
- Feb 6, 2023
Nearby Providers
-
JEROME JENNINGS, MD
Orthopaedic Surgery
-
MR. GARY RAY, MSN, CRNA
Nurse Anesthetist, Certified Registered
-
MR. JOHANNES STEFFIN, LMFT, LCASA
Marriage & Family Therapist
-
DR. GREGORY TEMAS, MD
Ophthalmology
-
WILLIAM JENNINGS, DO
Orthopaedic Surgery