Healthcare Provider Details

I. General information

NPI: 1659164655
Provider Name (Legal Business Name): CHRISTOPHER DANIEL KUTCHES FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2025
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1381 UNIVERSITY ST
HEALDSBURG CA
95448-3314
US

IV. Provider business mailing address

7743 FOPPIANO WAY
WINDSOR CA
95492-7701
US

V. Phone/Fax

Practice location:
  • Phone: 707-433-5494
  • Fax:
Mailing address:
  • Phone: 707-217-3882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number764558
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95035838
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: