MEDICARE: TORI MARIE LEWIS DAUPHINAIS CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R222774	MD

General Provider Information

NPI Number	:	1538706593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TORI MARIE LEWIS DAUPHINAIS CRNP

Provider Business Mailing Address
First Line	:	28227 THREE NOTCH RD
Second Line	:
City	:	MECHANICSVILLE
State	:	MD
Zip	:	20659-3239
Country	:	US
Telephone Number	:	301-884-8161
Fax Number	:	301-475-7039

Provider Business Practice Location Address
First Line	:	28227 THREE NOTCH RD
Second Line	:
City	:	MECHANICSVILLE
State	:	MD
Zip	:	20659-3239
Country	:	US
Telephone Number	:	301-884-8161
Fax Number	:	301-475-7039

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2019
Last Update Date	:	10/28/2025

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