| Doctor Name: | CAMILLE ELIZABETH SUCHY |
| NPI Number: | 1063773117 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 5375688071 |
| Business Practice Address: | 222 S Kansas St Russell, KS - 676653000 |
| Business Phone Number: | 7854863333 |
| Business Fax Number: | 7854830781 |
| Mailing Address: | 2509 Canterbury Dr, HAYS |
| State: | KS |
| Postal Code: | 676012233 |
| Phone Number: | 7856235095 |
| Fax Number: | 7856235080 |
| NPI Enumeration Date: | 06/05/2012 |
| NPI Last Update Date: | 07/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 5375688071 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |