Nicholas Mudry
Nurse Practitioner, Family in Greenwich, Connecticut
1326752684- Practice location
- 500 W Putnam Ave Fl 2, Greenwich, CT 06830-2937
- Phone
- 877-925-3637
- Fax
- —
- Last updated
- April 24, 2026
Nicholas Mudry is a Nurse Practitioner, Family based in Greenwich, CT. Nicholas Mudry practices in Greenwich, CT. The NPI Number for Nicholas Mudry is 1326752684 and holds a License No. 12235 (CT). The current practice location address for Nicholas Mudry is 500 W Putnam Ave Fl 2, Greenwich, CT 06830-2937 and can be reached out via phone at 877-925-3637.
Provider Profile Details
- NPI Number
- 1326752684
- Provider Name
- Nicholas Mudry
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 500 W Putnam Ave Fl 2, Greenwich, CT 06830-2937
- Phone Number
- 877-925-3637
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 11, 2023
- Last Update Date
- April 24, 2026
- Certification Date
- April 24, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 500 W Putnam Ave Fl 2
Greenwich, CT 06830-2937 - City
- Greenwich
- State
- Connecticut
- Zip
- 06830-2937
- Phone Number
- 877-925-3637
Provider Business Mailing Address Details
- Address
- 158 Broad St Apt H
Milford, CT 06460-4758 - City
- Milford
- State
- CT
- Zip
- 06460-4758
License Information
- License Number (1)
- 12235
- License State (1)
- CT
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X · Primary
- License Number (2)
- 143925
- License State (2)
- CT
- Taxonomy (2)
- Registered Nurse · 163W00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Nicholas Mudry?
The NPI number of Nicholas Mudry is 1326752684. It was assigned on January 11, 2023 and is currently active in the NPPES registry.
What is the specialty of Nicholas Mudry?
Nicholas Mudry is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 12235.
Where does Nicholas Mudry practice?
The practice location is 500 W Putnam Ave Fl 2, Greenwich, CT 06830-2937. The office can be reached at 877-925-3637 (phone).
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 1326752684 directly on the NPPES registry website.