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MRS. MARY ELLEN LYDEM APRN
NPI 1255514758
Nurse Practitioner - Adult Health in Bethel, CT

Active since December 07, 2007
4 BERKSHIRE BLVD, BETHEL, CT 06801(203) 826-3159(203) 775-6810 Get Directions Write a Review

NPPES record last updated: December 7, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mary Ellen Lydem Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY ELLEN LYDEM APRN (NPI 1255514758) is an individual adult health provider in Bethel, Connecticut, licensed in Connecticut (001563) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1255514758
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. MARY ELLEN LYDEMCredential: APRN
Location Address4 BERKSHIRE BLVDBethel, CT 06801-1001
Mailing Address4 Berkshire BlvdBethel, CT 06801-1001
Phone(203) 826-3159
Fax(203) 775-6810
Sole ProprietorYes
Enumeration DateDecember 7, 2007
✔ NPI 1255514758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CT · 001563
4 BERKSHIRE BLVD, Bethel, CT 06801
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABILITY BEYOND DISABILITY
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
4 BERKSHIRE BLVD
BETHEL, CT 06801
Western Connecticut Planning Region (203) 775-4700
DR. PATRICIA MITCHELL PSY,D.
Psychologist (Clinical)
4 BERKSHIRE BLVD
BETHEL, CT 06801
Western Connecticut Planning Region (203) 826-3140
ABILITY BEYOND DISABILITY
Intermediate Care Facility, Intellectual Disabilities
4 BERKSHIRE BLVD, THE LEIR PAVILION
BETHEL, CT 06801
Western Connecticut Planning Region (203) 826-3071
DEBORAH MUSUMECI OT
Occupational Therapist
4 BERKSHIRE BLVD
BETHEL, CT 06801
Western Connecticut Planning Region (203) 798-6235
SUSAN B ACKELL RPT
Physical Therapist
4 BERKSHIRE BLVD
BETHEL, CT 06801
Western Connecticut Planning Region (203) 775-4700
ELIZABETH ANN CAPLAN
Registered Nurse (Home Health)
4 BERKSHIRE BLVD
BETHEL, CT 06801
Western Connecticut Planning Region (888) 832-8247
KATHLEEN CONFEITEIRO OTR/L
Occupational Therapist
4 BERKSHIRE BLVD
BETHEL, CT 06801
Western Connecticut Planning Region (203) 775-8256
MRS. MARLENE DEBORAH MUMFORD RPT
Physical Therapist
4 BERKSHIRE BLVD
BETHEL, CT 06801
Western Connecticut Planning Region (203) 826-3138

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ellen Lydem's NPI number?

The NPI number for Mary Ellen Lydem is 1255514758. It was assigned to this individual provider in the NPPES registry on December 7, 2007.

Where is Mary Ellen Lydem located?

Mary Ellen Lydem practices at 4 Berkshire Blvd, Bethel, CT 06801. The listed phone number is (203) 826-3159.

What is Mary Ellen Lydem's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Mary Ellen Lydem was last updated on December 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.