Healthcare Provider Details

I. General information

NPI: 1861340853
Provider Name (Legal Business Name): ANISSA CHENAI SANDERS CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 MEDICAL PKWY STE G50
ANNAPOLIS MD
21401-3067
US

IV. Provider business mailing address

2003 MEDICAL PKWY STE G50
ANNAPOLIS MD
21401-3067
US

V. Phone/Fax

Practice location:
  • Phone: 443-481-4400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberR0285054
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: