Individual provider · Type 1 NPI
Nicole L. Entenza, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1477819860
Active
Practice location
310 SW 4th Ave Ste 3-J
Portland, OR 97204-2345
Fax (971) 758-5726
Mailing address
35 E Horizon Ridge Pkwy Ste 110-403
Henderson, NV 89002-7905
Other practice locations
- 2400 N Tenaya Way Ste 131, Las Vegas, NV 89128-0645 · (702) 608-6403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95024669 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 10047025 (OR) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 865565 (NV) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1477819860
Nicole L. Entenza, APRN, PMHNP-BC's National Provider Identifier is 1477819860, issued on Apr 10, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Jul 1, 2026.