MEDICARE: DORINE JOSEPH

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R246082	MD
2	363LF0000X	Family Nurse Practitioner	NP2000487	DC
3	363LF0000X	Family Nurse Practitioner	R246082	MD

General Provider Information

NPI Number	:	1629686563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DORINE JOSEPH

Provider Business Mailing Address
First Line	:	7060 FOX GLOVE LN
Second Line	:
City	:	HANOVER
State	:	MD
Zip	:	21076-2439
Country	:	US
Telephone Number	:	96-742-6462
Fax Number	:

Provider Business Practice Location Address
First Line	:	7060 FOX GLOVE LN
Second Line	:
City	:	HANOVER
State	:	MD
Zip	:	21076-2439
Country	:	US
Telephone Number	:	96-742-6462
Fax Number	:

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

Provider Enumeration Date	:	07/16/2020
Last Update Date	:	02/11/2026

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Directions to “ DORINE JOSEPH ” Practice Location

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