Mutnansky, Nicole
Mutnansky, Nicole is an individual health care provider with primary practice located at 12725 Sw Millikan Way Ste 300 , Beaverton OR 97005-1687. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mutnansky, Nicole can be contacted via phone (971) 319-1592.Contact Information
Primary practice address
12725 Sw Millikan Way Ste 300
Beaverton OR 97005-1687
Phone: (971) 319-1592
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | SP019347 | Pennsylvania |
Profile Details
| NPI number | 1912459447 |
|---|---|
| LBN Legal business name | Mutnansky, Nicole |
| Credentials | PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2016 |
| Last updated | Mar 9th, 2026 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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