According to our database, the NPI number for Susada Inthavong APRN is 1275770398 and activated since 15 years ago. Susada Inthavong APRN is an individual provider who specializes in Nurse Practitioner, and the primary practice location is 1504 Sullivan Ave, South Windsor, CT 06074. You can also contact Susada Inthavong APRN via telephone number is (860) 644-1523. Provider NPI information was last updated on 01/12/2009.

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Overview of Susada Inthavong APRN

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 01/12/2009
  • Last updated: 01/12/2009

Primary Scrop of Practice

  • Taxonomy Code: 363L00000X
  • Specialty: Nurse Practitioner
  • License Number: 003968
  • License State: CT

Provider Mailing Address

  • Address: 29 Naek Rd
    Suite 5
    Vernon, CT 06066
  • Phone: 860-872-2289
  • Fax: 860-896-1425

Provider Practice Location

  • Address: 1504 Sullivan Ave
    South Windsor, CT 06074
  • Phone: 860-644-1523
  • Fax: 860-648-9468

Scope of Practice

  • Taxonomy Code: 363L00000X
  • Specialty: Nurse Practitioner
  • License Number: 003968
  • License State: CT
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 003968
  • Identifier Type: Other
  • Identifier State: CT
  • Issuer: STATE LICENSE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Susada Inthavong APRN?
  • A: The npi number for Susada Inthavong APRN is 1275770398.
  • Q: What are Susada Inthavong APRN's specialties?
  • A: Susada Inthavong APRN's specialties are Nurse Practitioner and different specialities.
  • Q: What is the medical license for Susada Inthavong APRN?
  • A: The medical license number for Susada Inthavong APRN is 003968 and issued in CT in USA.
  • Q: Where is Susada Inthavong APRN practice location?
  • A: Susada Inthavong APRN is practicing at 1504 Sullivan Ave, South Windsor, CT 06074.
  • Q: How to contact Susada Inthavong APRN?
  • A: You can contact Susada Inthavong APRN via 860-644-1523.