Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Susada Inthavong, APRN

Individual provider Nurse Practitioner · NPI 1275770398

Susada Inthavong, APRN is a Nurse Practitioner in South Windsor, Connecticut. Licensed in Connecticut. Registered with an NPI since 2009.

Licensed in
CT
In the registry since
2009
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

1504 Sullivan Ave
South Windsor, CT 06074-2711
Phone: (860) 644-1523
Fax: (860) 648-9468
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 003968 (CT)

Record details

NPI number1275770398
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJanuary 12, 2009
Last updated in NPPESJanuary 12, 2009
Mailing address29 Naek Rd, Suite 5, Vernon, CT 06066-3942

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