Individual provider · Type 1 NPI
Nicholas Mudry
Family Nurse Practitioner · Greenwich, CT
NPI number
1326752684
Active
Practice location
500 W Putnam Ave Fl 2
Greenwich, CT 06830-2937
Mailing address
158 Broad St Apt H
Milford, CT 06460-4758
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 12235 (CT) |
| Registered Nurse | 163W00000X | 143925 (CT) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1326752684
Nicholas Mudry's National Provider Identifier is 1326752684, issued on Jan 11, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Greenwich, CT. The record was last updated on Apr 24, 2026.