Individual
NICHOLAS MUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 W PUTNAM AVE FL 2, GREENWICH, CT 06830-2937
(877) 925-3637
Mailing address
158 BROAD ST APT H, MILFORD, CT 06460-4758
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
143925
CT
363LF0000X
Family Nurse Practitioner
Primary
12235
CT
Other
Enumeration date
01/11/2023
Last updated
04/24/2026
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