Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSADA INTHAVONG, APRN
ActiveSUSADA INTHAVONG, APRN is a Nurse Practitioner healthcare provider located in SOUTH WINDSOR, Connecticut. NPI 1275770398 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · SOUTH WINDSOR, CT
Registration Details
- NPI Number
- 1275770398
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 12, 2009 (17.550770394073 yrs)
- Last Updated
- Jan 12, 2009
- License
-
003968 (CT)
Practice Information
- Address
-
1504 SULLIVAN AVESOUTH WINDSOR, CT, 060742711Browse CT providers · Browse ZIP 06074
- Phone
- 8606441523
- Fax
- 8606489468
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in SOUTH WINDSOR, CT
| Name | Credential | NPI |
|---|---|---|
| ANDREA DIAS MURPHY | APRN | 1467709097 |
| NADINE CARON | APRN | 1487027678 |
| NAVNEET KAUR | APRN, FNP-BC | 1861254054 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.