Healthcare Provider Details

I. General information

NPI: 1306552146
Provider Name (Legal Business Name): ALYSSA JOY CONNORS CNM, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALYSSA JOY CONNORS-HORTENSI

II. Dates (important events)

Enumeration Date: 01/25/2023
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2999 REGENT ST STE 524
BERKELEY CA
94705-2120
US

IV. Provider business mailing address

112 LA CASA VIA STE 300
WALNUT CREEK CA
94598-3059
US

V. Phone/Fax

Practice location:
  • Phone: 510-495-0310
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number236318
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number95022782
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: