Individual
HEATHER MUDANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
21 SOUTH RD, FARMINGTON, CT 06032-2482
(860) 679-8400
(860) 679-0123
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-8400
(860) 679-0123
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
66203
CT
363L00000X
Nurse Practitioner
Primary
12090
CT
363LP2300X
Primary Care Nurse Practitioner
12090
CT
Other
Enumeration date
12/14/2021
Last updated
07/30/2026
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