Provider Demographics
NPI:1437850369
Name:DABBAGH, HADE (RN)
Entity type:Individual
Prefix:
First Name:HADE
Middle Name:
Last Name:DABBAGH
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:ABDEL
Other - Middle Name:HADE
Other - Last Name:DABBAGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4 EMERSON CIR
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-3965
Mailing Address - Country:US
Mailing Address - Phone:508-241-9225
Mailing Address - Fax:
Practice Address - Street 1:4 EMERSON CIR
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-3965
Practice Address - Country:US
Practice Address - Phone:508-241-9225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-16
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2356181163WP0808X
MA2025002245363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health