Individual provider · Type 1 NPI

Nicole Mutnansky, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Beaverton, OR

NPI number 1912459447 Active

Practice location

12725 SW Millikan Way Ste 300
Beaverton, OR 97005-1687

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XSP019347 (PA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1912459447

Nicole Mutnansky, PMHNP-BC's National Provider Identifier is 1912459447, issued on Nov 1, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Beaverton, OR. The record was last updated on Mar 9, 2026.