MARY ELLEN LYDEM

BETHEL, CT
NPI1255514758
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: CT  001563)
Enumeration Date2007-12-07
Last Update Date2007-12-07
Business Address
Mrs. MARY ELLEN LYDEM APRN
4 BERKSHIRE BLVD
BETHEL, CT 06801-1001
Phone number: 203-826-3159
Mailing Address
Mrs. MARY ELLEN LYDEM APRN
4 BERKSHIRE BLVD
BETHEL, CT 06801-1001
Phone number:
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