Provider Demographics
NPI:1861673519
Name:MCCONNER, APRIL YVETTE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:YVETTE
Last Name:MCCONNER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 FARMINGTON AVE FL 3D
Mailing Address - Street 2:MEDICAL ARTS AND RESEARCH BUILDING
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06030-5351
Mailing Address - Country:US
Mailing Address - Phone:860-679-2160
Mailing Address - Fax:
Practice Address - Street 1:263 FARMINGTON AVE # 3DFL
Practice Address - Street 2:MEDICAL ARTS AND RESEARCH BUILDING
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06030-5351
Practice Address - Country:US
Practice Address - Phone:860-679-2160
Practice Address - Fax:203-926-0594
Is Sole Proprietor?:No
Enumeration Date:2007-11-23
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003663363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1861673519Medicaid
CT1861673519Medicaid