Healthcare Provider Details

I. General information

NPI: 1346053964
Provider Name (Legal Business Name): ANNE CHRISTELLE BISSETT CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2025
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 W MILLER ST # MP326
ORLANDO FL
32806-2031
US

IV. Provider business mailing address

83 W MILLER ST # MP326
ORLANDO FL
32806-2031
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-5281
  • Fax: 321-843-2068
Mailing address:
  • Phone: 321-841-5281
  • Fax: 321-843-2068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN11037839
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: