Healthcare Provider Details

I. General information

NPI: 1306314596
Provider Name (Legal Business Name): ALAYSHA HORNE CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2018
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

859 CLAIR ST
INKSTER MI
48141-1001
US

IV. Provider business mailing address

1428 S LAPEER RD
LAKE ORION MI
48360-1437
US

V. Phone/Fax

Practice location:
  • Phone: 734-334-6210
  • Fax:
Mailing address:
  • Phone: 248-693-0543
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number930
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number4704432752
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: