Provider Demographics
NPI:1366993164
Name:CONLEY, CONSTANDINA PATRICIA (APRN, FNP-BC)
Entity type:Individual
Prefix:MS
First Name:CONSTANDINA
Middle Name:PATRICIA
Last Name:CONLEY
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Gender:F
Credentials:APRN, FNP-BC
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Mailing Address - Street 1:35 TALCOTTVILLE RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066
Mailing Address - Country:US
Mailing Address - Phone:860-870-6388
Mailing Address - Fax:860-870-0635
Practice Address - Street 1:35 TALCOTTVILLE RD
Practice Address - Street 2:SUITE 5
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-5261
Practice Address - Country:US
Practice Address - Phone:860-870-6388
Practice Address - Fax:860-870-0635
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-18
Last Update Date:2022-09-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT6783363LP0200X, 363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care