Healthcare Provider Details

I. General information

NPI: 1457118564
Provider Name (Legal Business Name): ANNA CHRISTINA CARDARELLA CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2024
Last Update Date: 03/05/2024
Certification Date: 01/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 UPPER CHESAPEAKE DR STE 301
BEL AIR MD
21014-4375
US

IV. Provider business mailing address

7513 OLD BATTLE GROVE RD
DUNDALK MD
21222-3506
US

V. Phone/Fax

Practice location:
  • Phone: 443-643-4300
  • Fax:
Mailing address:
  • Phone: 443-591-0533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberR228419
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: