SUSADA INTHAVONG, APRN
Nurse Practitioner
Active
Individual
NPI: 1275770398
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | 003968 (CT) |
Frequently Asked Questions
NPI 1275770398 is the National Provider Identifier for SUSADA INTHAVONG, APRN, a Nurse Practitioner provider located in South Windsor, CT. This NPI was enumerated on January 12, 2009.
SUSADA INTHAVONG, APRN practices at 1504 SULLIVAN AVE, South Windsor, CT 06074.
Quick Facts
- NPI
- 1275770398
- Type
- Individual
- Enumerated
- Jan 12, 2009
- Last Updated
- Jan 12, 2009
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