Individual
HEATHER MUDANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030
(860) 679-8400
Mailing address
10 ROBIN RD, SIMSBURY, CT 06070-1643
(860) 754-6223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
66203
CT
363LP2300X
Primary Care Nurse Practitioner
12090
CT
Other
Enumeration date
12/14/2021
Last updated
09/22/2023
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