Active NPIIndividual provider

Heather Mudano, APRN

Nurse Practitioner, Gerontology in Farmington, Connecticut

NPI Number1285393538
Practice location
21 South RD, Farmington, CT 06032-2482
Fax
860-679-0123
Last updated
August 25, 2026

Heather Mudano is a Nurse Practitioner, Gerontology based in Farmington, CT. Heather Mudano practices in Farmington, CT and has the professional credentials of APRN. The NPI Number for Heather Mudano is 1285393538 and holds a License No. 12090 (CT). The current practice location address for Heather Mudano is 21 South RD, Farmington, CT 06032-2482 and can be reached out via phone at 860-679-8400 and via fax at 860-679-0123.

Provider Profile Details

NPI Number
1285393538
Provider Name
Heather Mudano
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
21 South RD, Farmington, CT 06032-2482
Phone Number
860-679-8400
Fax Number
860-679-0123
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
December 14, 2021
Last Update Date
August 25, 2026
Certification Date
August 25, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 South RD
Farmington, CT 06032-2482
Zip
06032-2482
Phone Number
860-679-8400
Fax Number
860-679-0123
Farmington, CT 06032Get directions →

Provider Business Mailing Address Details

Address
263 Farmington Ave
Farmington, CT 06030-8082
City
Farmington
State
CT
Zip
06030-8082
Phone Number
860-679-8400
Fax Number
860-679-0123

License Information

License Number (1)
12090
License State (1)
CT
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
012090
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Gerontology · 363LG0600X · Primary
License Number (3)
66203
License State (3)
CT
Taxonomy (3)
Registered Nurse · 163W00000X
License Number (4)
12090
License State (4)
CT
Taxonomy (4)
Nurse Practitioner, Primary Care · 363LP2300X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Gerontology providers near Farmington, CT

View all Nurse Practitioner, Gerontology providers in Farmington →

Frequently Asked Questions

What is the NPI number of Heather Mudano, APRN?

The NPI number of Heather Mudano, APRN is 1285393538. It was assigned on December 14, 2021 and is currently active in the NPPES registry.

What is the specialty of Heather Mudano, APRN?

Heather Mudano, APRN is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in CT under license number 12090.

Where does Heather Mudano, APRN practice?

The practice location is 21 South RD, Farmington, CT 06032-2482. The office can be reached at 860-679-8400 (phone) or 860-679-0123 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285393538 directly on the NPPES registry website.

Browse related providers