Mary Ellen Lydem is a Adult Health in Bethel, Connecticut. Mary Ellen Lydem practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Mary Ellen Lydem is 1255514758. The last update date is 2007-12-07.
Mary Ellen Lydem's current location address is 4 Berkshire Blvd, Bethel, Connecticut. You can contact this provider via phone number 2038263159 and fax number 2037756810. The mailing address for Mary Ellen Lydem is 4 Berkshire Blvd, Bethel, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ellen Lydem |
|---|---|
| Address | 4 Berkshire Blvd, Bethel, Connecticut |
| Phone Number | 2038263159 |
| Fax Number | 2037756810 |
| Sole Proprietor | Y |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1255514758 |
|---|---|
| Provider Enumeration Date | 2007-12-07 |
| Last Updated Date | 2007-12-07 |
Provider Mailing Address Detail
| Address | 4 Berkshire Blvd |
|---|---|
| City | Bethel |
| State | Connecticut (CT) |
| Post Code | 68011001 |
| Phone Number | 2038263159 |
| Fax Number | 2037756810 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 1563 |
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Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
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Post Comment/ Review Below
What is the unique identification code assigned to Mary Ellen Lydem by the Centers for Medicare & Medicaid Services?
The Mary Ellen Lydem has been issued the NPI (National Provider Identifier) 1255514758. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mary Ellen Lydem is geographically located?
The Mary Ellen Lydem is physically situated at the following location: 4 Berkshire Blvd, Bethel, CT, 68011001.
What is Mary Ellen Lydem's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary Ellen Lydem's specialized field of practice is Adult Health, and the corresponding taxonomy code that categorizes this area of specialization is 363La2200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1255514758 to Mary Ellen Lydem?
The Mary Ellen Lydem received its 1255514758 assignment from the Centers for Medicare & Medicaid Services on 2007-12-07.
When was the Mary Ellen Lydem's information last updated?
The Mary Ellen Lydem's information was last updated on 2007-12-07.