SearchNorth CarolinaPsychiatric/Mental Health Nurse Practitioner

Lillykutty Modoor, NURSE PRACTITIONER

NPI 1013155969 · on the registry since 2009

Practice

Address
650 Highland Ave Ste 100
Winston Salem, NC 27101
Phone
(336) 607-8523
Fax
(336) 773-0916
Organisation at this address
Monarch
Carenet Inc
Forsyth Community Pcc Llc
Rha Behavioral Health Nc Llc
Daymark Recovery Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
30

Additional practice sites

  • 725 Highland Ave Unit 116, Winston Salem, NC

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
363L00000X
363LF0000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina