Mrs. Mary Ellen Lydem, APRN
Nurse Practitioner, Adult Health in Bethel, Connecticut
1255514758- Practice location
- 4 Berkshire Blvd, Bethel, CT 06801-1001
- Phone
- 203-826-3159
- Fax
- 203-775-6810
- Last updated
- December 7, 2007
Mary Ellen Lydem is a Nurse Practitioner, Adult Health based in Bethel, CT. Mary Ellen Lydem practices in Bethel, CT and has the professional credentials of APRN. The NPI Number for Mary Ellen Lydem is 1255514758 and holds a License No. 001563 (CT). The current practice location address for Mary Ellen Lydem is 4 Berkshire Blvd, Bethel, CT 06801-1001 and can be reached out via phone at 203-826-3159 and via fax at 203-775-6810.
Provider Profile Details
- NPI Number
- 1255514758
- Provider Name
- Mary Ellen Lydem
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4 Berkshire Blvd, Bethel, CT 06801-1001
- Phone Number
- 203-826-3159
- Fax Number
- 203-775-6810
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 7, 2007
- Last Update Date
- December 7, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4 Berkshire Blvd
Bethel, CT 06801-1001 - City
- Bethel
- State
- Connecticut
- Zip
- 06801-1001
- Phone Number
- 203-826-3159
- Fax Number
- 203-775-6810
Provider Business Mailing Address Details
- Address
- 4 Berkshire Blvd
Bethel, CT 06801-1001 - City
- Bethel
- State
- CT
- Zip
- 06801-1001
License Information
- License Number
- 001563
- License State
- CT
- Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Mary Ellen Lydem, APRN?
The NPI number of Mrs. Mary Ellen Lydem, APRN is 1255514758. It was assigned on December 7, 2007 and is currently active in the NPPES registry.
What is the specialty of Mrs. Mary Ellen Lydem, APRN?
Mrs. Mary Ellen Lydem, APRN is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in CT under license number 001563.
Where does Mrs. Mary Ellen Lydem, APRN practice?
The practice location is 4 Berkshire Blvd, Bethel, CT 06801-1001. The office can be reached at 203-826-3159 (phone) or 203-775-6810 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255514758 directly on the NPPES registry website.