Healthcare Provider Details

I. General information

NPI: 1538955091
Provider Name (Legal Business Name): SARRIE BRIELLE SUHAY PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2025
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 HIGHLAND BLVD
BOZEMAN MT
59715-6902
US

IV. Provider business mailing address

940 DAMARELL RD
BOZEMAN MT
59718-9760
US

V. Phone/Fax

Practice location:
  • Phone: 858-221-3953
  • Fax:
Mailing address:
  • Phone: 858-221-3953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMED-PAC-LIC-166467
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: