Individual provider · Type 1 NPI

Mylene Mercado Antonio, APRN

Gerontology Nurse Practitioner · Columbia, SC

NPI number 1235779281 Active

Practice location

111 Doctor Cir
Columbia, SC 29203-6502

Specialties and licenses

Taxonomy	Code	License
Gerontology Nurse Practitioner Primary	363LG0600X	22669 (SC)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1235779281

Mylene Mercado Antonio, APRN's National Provider Identifier is 1235779281, issued on Jan 7, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Columbia, SC. The record was last updated on Oct 31, 2022.