MRS. Mary Ellen Lydem, APRN

NPI #1255514758 in Bethel, Connecticut

Provider Information

NPI Number
1255514758
Entity Type
Individual
Name
MRS. Mary Ellen Lydem, APRN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Adult Health
Credential
APRN
Enumeration Date
Dec 7, 2007
Last Updated
Dec 7, 2007

Practice Location

Address
4 BERKSHIRE BLVD
City
Bethel
ZIP Code
06801-1001
Phone
(203) 826-3159

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Adult HealthAdult Health

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