Doctor profile · Federal record
Dr. Susada Inthavong, APRN
Nurse Practitioner · South Windsor, CT
- NPI 1275770398
- 17 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1504 Sullivan Ave
South Windsor, CT 060742711
(860) 644-1523
fax (860) 648-9468 - Mailing address
-
29 Naek RD, Suite 5
Vernon, CT 060663942
Credentials & registration
- NPI registered
- January 2009 — 17 yrs on file
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Connecticut #003968
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1275770398. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$230
Transactions
4
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 1 | $141.67 | |
| MERZ NORTH AMERICA, INC. | 3 | $88.59 |
By nature of payment
Frequently asked questions
What is Dr. Susada Inthavong's medical specialty?
Dr. Susada Inthavong practices Nurse Practitioner in South Windsor, CT.
Where does Dr. Susada Inthavong practice?
Dr. Susada Inthavong practices at 1504 Sullivan Ave, South Windsor, CT 060742711. Office phone: 8606441523.
What is Dr. Susada Inthavong's NPI?
Dr. Susada Inthavong's National Provider Identifier (NPI) is 1275770398, issued by NPPES.