Provider Demographics
NPI:1043109226
Name:LYDIC, ASHLEY
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:LYDIC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 W POPLETON ST
Mailing Address - Street 2:
Mailing Address - City:BRADY
Mailing Address - State:NE
Mailing Address - Zip Code:69123-2700
Mailing Address - Country:US
Mailing Address - Phone:308-520-3618
Mailing Address - Fax:
Practice Address - Street 1:324 W POPLETON ST
Practice Address - Street 2:
Practice Address - City:BRADY
Practice Address - State:NE
Practice Address - Zip Code:69123-2700
Practice Address - Country:US
Practice Address - Phone:308-520-3618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant