Provider Demographics
NPI:1659825974
Name:KONI, AIDA (APRN FNP)
Entity Type:Individual
Prefix:MRS
First Name:AIDA
Middle Name:
Last Name:KONI
Suffix:
Gender:F
Credentials:APRN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 TINSMITH XING
Mailing Address - Street 2:
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-1335
Mailing Address - Country:US
Mailing Address - Phone:860-729-8434
Mailing Address - Fax:
Practice Address - Street 1:53 NEW BRITAIN AVE STE 7
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-1175
Practice Address - Country:US
Practice Address - Phone:860-436-5803
Practice Address - Fax:860-785-8343
Is Sole Proprietor?:No
Enumeration Date:2016-08-04
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6599363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily