| Kathleen M Dutton, FNP | |
|
2301 Circadian Way, Suite A, Santa Rosa, CA 95407-5444 | |
| (707) 526-2027 | |
| (707) 526-2096 |
| Full Name | Kathleen M Dutton |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 2301 Circadian Way, Santa Rosa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851466890 | NPI | - | NPPES |
| 15665 | Other | CA | FNP |
| 434015 | Other | CA | RN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN322802 (Arizona) | Primary |
| 363L00000X | Nurse Practitioner | 15665 (California) | Secondary |
| Entity Name | Nephrology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063462950 PECOS PAC ID: 0547227621 Enrollment ID: O20041210000586 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen M Dutton, FNP 514 Chablis Dr, Windsor, CA 95492-6691 Ph: (707) 620-0014 | Kathleen M Dutton, FNP 2301 Circadian Way, Suite A, Santa Rosa, CA 95407-5444 Ph: (707) 526-2027 |
Roxanne Marie Moon, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 112 Childrens Cir, Santa Rosa, CA 95409 Phone: 707-565-6350 | |
Suzetta Richmond, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1739 Fourth Street, Santa Rosa, CA 95404 Phone: 707-528-6331 Fax: 707-528-6587 | |
Maureen Flynn Garcia, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3725 Westwind Blvd, Santa Rosa, CA 95403 Phone: 707-565-8070 | |
Monicah Waithira Gacegu, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2623 Navajo St, Santa Rosa, CA 95403 Phone: 707-703-2565 | |
Jerry Genung, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3322 Chanate Rd, Santa Rosa, CA 95404 Phone: 707-565-4970 | |
Mr. John David Wildgust, RN, MSN, PHN, PMHNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 480 Tesconi Cir Ste B, Santa Rosa, CA 95401 Phone: 707-206-7268 Fax: 707-206-7254 | |
Elizabeth Virginia Fernwood, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3569 Round Barn Cir, Santa Rosa, CA 95403 Phone: 707-303-3600 |