Susada Inthavong is a South Windsor, Connecticut based nurse practitioner. Active license number of Susada Inthavong is 003968 in Connecticut. Her current practice location is 1504 Sullivan Ave, South Windsor. Patients can reach her at 860-644-1523 or can fax her at 860-648-9468. Susada Inthavong is APRN and her NPI number (Unique professional ID assigned by NPPES) is 1275770398. Susada Inthavong has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Susada Inthavong speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Susada Inthavong
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
APRN
Practice Address:
1504 Sullivan Ave, South Windsor, Connecticut, 06074-2711
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1275770398
NPI Enumeration Date:
12 Jan, 2009
NPI Last Update On:
12 Jan, 2009
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susada Inthavong are as mentioned below.
License Number
Specialization
State
Status
003968
Connecticut
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Susada Inthavong such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
003968
Other
Connecticut
STATE LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Susada Inthavong 29 Naek Rd, Suite 5 Vernon, Connecticut
Zip:
06066-3942
Phone Number:
860-872-2289
Fax Number:
860-896-1425
Patients can reach Susada Inthavong at 1504 Sullivan Ave, South Windsor, Connecticut or can call to book an appointment on 860-644-1523.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.