DR. MARYLOU MYLANT PHD RN PMHNP NPI 1700065208

NPI Information

NPI: 1700065208
Provider Name: DR. MARYLOU MYLANT, PHD, RN, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1011 11TH ST
RAPID CITY, SD
ZIP 57701
Phone: (605) 394-6617
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DR. Marylou Mylant, PHD, RN, PMHNP is a psychiatric/mental health nurse practitioner in Rapid City, SD. DR. Marylou Mylant, PHD, RN, PMHNP NPI is 1700065208. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1011 11TH ST
RAPID CITY, SD
ZIP 57701-530
Phone: (605) 394-6617
Fax: (605) 394-1250

The enumeration date for this NPI number is 10/31/2007 and was last updated on 10/31/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0810X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Family	R025102	SOUTH DAKOTA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	R025102	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6575492	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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