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Contact Information

MARYLOU MYLANT, PHD, RN, PMHNP
1011 11TH ST
RAPID CITY, SD57701-3530
 Phone: 605-394-6617
 Fax: 605-394-1250
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatric/Mental Health, Child & Family

364SP0810X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for MARYLOU MYLANT · (Female)

NPI # 1700065208
Status Active
Credentials PHD, RN, PMHNP
Entity Individual
Enumeration date 10/31/2007
Last updated 10/31/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • SD License # R025102
  • SD Medicaid 6575492
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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