| Heather Mudano, APRN | |
|
263 Farmington Avenue, Farmington, CT 06030 | |
| (860) 679-8400 | |
| Not Available |
| Full Name | Heather Mudano |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 263 Farmington Avenue, Farmington, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285393538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 12090 (Connecticut) | Secondary |
| 163W00000X | Registered Nurse | 66203 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John Dempsey Hospital | Farmington, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mclean Fund | 0648247403 | 74 |
| University Of Connecticut Health Center | 3678472016 | 562 |
| Entity Name | University Of Connecticut Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720083769 PECOS PAC ID: 3678472016 Enrollment ID: O20040106000105 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Mudano, APRN 10 Robin Rd, Simsbury, CT 06070-1643 Ph: (860) 754-6223 | Heather Mudano, APRN 263 Farmington Avenue, Farmington, CT 06030 Ph: (860) 679-8400 |
Debra Ann Ellis, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 11 South Rd, Farmington, CT 06032 Phone: 860-837-5428 Fax: 860-837-7871 | |
Nicholas John Sturgis, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2588 | |
Mrs. Elise Katherine Spalla, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 175 Scott Swamp Rd, Farmington, CT 06032 Phone: 860-751-6265 | |
Mrs. Amanda Brady Watters Gorman, NP, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8 Hatters Ln, Farmington, CT 06032 Phone: 917-567-5260 Fax: 844-364-2618 | |
Chrisotpher Heersping, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06032 Phone: 860-679-2626 | |
Amber Morelli, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-3107 | |
George Keithan Iii, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 599 Farmington Ave Ste 202, Farmington, CT 06032 Phone: 860-837-5170 |