Lillykutty Abraham Modoor
NURSE PRACTITIONER | Nurse Practitioner | 14+ years Exp
650 Highland Ave Ste 100, Winston Salem
North Carolina, 27101-4304
336-607-8523
Lillykutty Abraham Modoor is a Winston Salem, North Carolina based nurse practitioner with 14 years of experience in . She completed her graduation in 2012. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lillykutty Abraham Modoor is 5004280 for Psych/Mental Health in North Carolina. Her current practice location is 650 Highland Ave Ste 100, Winston Salem. Patients can reach her at 336-607-8523 or can fax her at 336-773-0916. Lillykutty Abraham Modoor is NURSE PRACTITIONER and her NPI number (Unique professional ID assigned by NPPES) is 1013155969.
Lillykutty Abraham Modoor has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Lillykutty Abraham Modoor speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Lillykutty Abraham Modoor |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NURSE PRACTITIONER |
| Experience: | 14+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2012 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 650 Highland Ave Ste 100, Winston Salem,
North Carolina, 27101-4304 |
| Phone: | 336-607-8523 |
| Fax: | 336-773-0916 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0648420679 |
| Enrollment ID: | I20121026000698 |
| NPI Number: | 1013155969 |
| NPI Enumeration Date: | 30 Jan, 2009 |
| NPI Last Update On: | 06 Feb, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lillykutty Abraham Modoor are as mentioned below.
| License Number | Specialization | State | Status | |
| 5004280 | Psych/Mental Health | North Carolina | Primary | |
| 5004280 | Nurse Practitioner | North Carolina | Secondary | |
| 5004280 | Family | North Carolina | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Lillykutty Abraham Modoor is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Daymark Recovery Services Inc (0547233975) | 79 |
| Wake Forest University Health Sciences (4486564952) | 1921 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lillykutty Abraham Modoor
284 Executive Park Dr Ste 100,
Concord, North Carolina |
| Zip: | 28025-1833 |
| Phone Number: | 704-939-1100 |
| Fax Number: | 704-939-1173 |
Patients can reach Lillykutty Abraham Modoor at
650 Highland Ave Ste 100, Winston Salem, North Carolina or can
call to book an appointment on 336-607-8523.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.