location
search-icon
person
Susada Inthavong, APRN
Nurse Practitioner in South Windsor, Connecticut
NPI 1275770398

Susada Inthavong is a Nurse Practitioner based in Vernon, CT. Susada Inthavong practices in South Windsor, CT and has the professional credentials of APRN. The NPI Number for Susada Inthavong is 1275770398 and holds a License No. 003968 (Connecticut).

The current practice location address for Susada Inthavong is 1504 Sullivan Ave, South Windsor, CT and can be reached out via phone at 860-644-1523 and via fax at 860-648-9468.

Location: 1504 Sullivan Ave, South Windsor, CT, 06066-3942
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275770398
Provider Name
Susada Inthavong
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1504 Sullivan Ave, South Windsor, CT, 06066-3942
Phone Number
860-644-1523
Fax Number
860-648-9468
Provider Enumeration Date
01/12/2009
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
003968 01 CT STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1504 Sullivan Ave
City
South Windsor
State
Connecticut
Zip
06074-2711
Phone Number
860-644-1523
Fax Number
860-648-9468
person
Provider Business Mailing Address Details
Address
1504 Sullivan Ave
City
South Windsor
State
Connecticut
Zip
06074-2711
Phone Number
860-644-1523
Fax Number
860-648-9468
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
003968 (Connecticut)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.