Modoor, Lillykutty Abraham

Modoor, Lillykutty Abraham is an individual health care provider with primary practice located at 650 Highland Ave Ste 100 , Winston Salem NC 27101-4304. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Modoor, Lillykutty Abraham can be contacted via phone (336) 607-8523.

Contact Information

Primary practice address
650 Highland Ave Ste 100 Winston Salem NC 27101-4304
Phone: (336) 607-8523
Fax: (336) 773-0916
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5004280 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5004280 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5004280 North Carolina

Profile Details

NPI number 1013155969
LBN Legal business name Modoor, Lillykutty Abraham
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2009
Last updated Feb 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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