Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE RAYMOND DAGE, ACPNP, DNP
ActiveDR. THEODORE RAYMOND DAGE, ACPNP, DNP is a Pediatric Critical Care Nurse Practitioner healthcare provider located in MIDDLETOWN, New York. NPI 1205344868 is currently active in the NPPES registry. Verify at CMS.
Pediatric Critical Care Nurse Practitioner · MIDDLETOWN, NY
Registration Details
- NPI Number
- 1205344868
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2018 (8.6049718799592 yrs)
- Last Updated
- Jul 13, 2022
- License
-
382855 (NY)
Practice Information
- Address
-
707 E MAIN STMIDDLETOWN, NY, 109402650Browse NY providers · Browse ZIP 10940
- Phone
- 8453331000
- Primary Specialty
-
Pediatric Critical Care Nurse Practitioner
363LP0222X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.