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Dr. Marylou Mylant, PHD,RN,PMHNP
Psychiatric/Mental Health Nurse Practitioner in Rapid City, South Dakota
NPI 1700065208

Marylou Mylant is a Psychiatric/Mental Health Nurse Practitioner based in Hermosa, SD and is specialized in Psychiatric/Mental Health. Marylou Mylant practices in Rapid City, SD and has the professional credentials of PHD,RN,PMHNP. The NPI Number for Marylou Mylant is 1700065208 and holds a License No. R025102 (South Dakota).

The current practice location address for Marylou Mylant is 1011 11Th St, Rapid City, SD and can be reached out via phone at 605-394-6617 and via fax at 605-394-1250. You can also correspond with Marylou Mylant through the mailing address at 13716 GHOST CANYON RD, HERMOSA, SD - 57744-5020 (mailing address contact number: 605-394-6617).

Location: 1011 11Th St, Rapid City, SD, 57744-5020
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Provider Profile Details
NPI Number
1700065208
Provider Name
Marylou Mylant
Credential
PHD,RN,PMHNP
Provider Entity Type
Individual
Gender
Female
Address
1011 11Th St, Rapid City, SD, 57744-5020
Phone Number
605-394-6617
Fax Number
605-394-1250
Provider Enumeration Date
10/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6575492 05 SD
institution
Provider Business Practice Location Address Details
Address
1011 11Th St
City
State
Zip
57701-3530
Phone Number
605-394-6617
Fax Number
605-394-1250
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Provider Business Mailing Address Details
Address
13716 Ghost Canyon Rd
City
State
Zip
57744-5020
Phone Number
605-394-6617
Fax Number
605-394-1250
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R025102 (South Dakota)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Child & Family
Taxonomy
License No.
R025102 (South Dakota)
Definition
Definition to come...
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