Healthcare Provider Details

I. General information

NPI: 1184576167
Provider Name (Legal Business Name): MICHELLE KUTCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17815 SHADOW VALLEY DR
SPRING TX
77379-3902
US

IV. Provider business mailing address

17815 SHADOW VALLEY DR
SPRING TX
77379-3902
US

V. Phone/Fax

Practice location:
  • Phone: 832-353-4576
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number1006297
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: